Individual
JORDAN WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12350 SW 127TH AVE, MIAMI, FL 33186-6595
(516) 477-1762
Mailing address
4747 COLLINS AVE APT 1509, MIAMI BEACH, FL 33140-3278
(516) 477-1762
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN25159
FL
Other
Enumeration date
05/17/2020
Last updated
05/15/2024
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