Individual
JORDAN ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 W MAIN ST, WALNUT RIDGE, AR 72476
(870) 637-5914
(870) 637-5915
Mailing address
1904 BRIARWOOD ST, POCAHONTAS, AR 72455-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4173
AR
Other
Enumeration date
06/02/2017
Last updated
05/15/2018
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