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Individual

JORDAN A TORTORICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4220 N RODNEY PARHAM RD STE 103, LITTLE ROCK, AR 72212-2466
(501) 224-8332
(501) 219-8003
Mailing address
4220 N RODNEY PARHAM RD STE 103, LITTLE ROCK, AR 72212-2466
(501) 224-8332
(501) 219-8003

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
40129
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4420
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS-09138
IA

Other

Enumeration date
03/19/2012
Last updated
08/07/2020
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