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Individual

DR. MARTIN EUGENE JORDAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
300 YOAKUM PKWY, ALEXANDRIA, VA 22304-4060
(216) 210-8200
Mailing address
300 YOAKUM PKWY, ALEXANDRIA, VA 22304-4060
(216) 210-8200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019465
OH

Other

Enumeration date
10/21/2005
Last updated
07/08/2007
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