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Individual

DR. LISA M JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
106 BLOOMFIELD AVE, WINDSOR, CT 06095-2813
(860) 688-2679
(860) 688-3209
Mailing address
106 BLOOMFIELD AVE, WINDSOR, CT 06095-2813
(860) 688-2679
(860) 688-3209

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007567
CT

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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