Individual
JORDYN VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1908 LANDSTOWN CENTRE WAY, VIRGINIA BEACH, VA 23456-1634
(757) 431-2200
Mailing address
11 ROBIN WAY, WESTERLY, RI 02891-4910
(908) 581-8097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417930
VA
Other
Enumeration date
03/28/2021
Last updated
06/27/2023
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