Individual
DR. JOHN ROSS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1106 W RIVER RD, DETROIT LAKES, MN 56501-2723
(218) 846-1900
(218) 847-5081
Mailing address
24069 WOODLAND LN, DETROIT LAKES, MN 56501-7117
(218) 847-8416
(218) 847-5081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10689
MN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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