Individual
JORDAN FREEARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
674 BOULEVARD DE FRANCE, PARRIS ISLAND, SC 29905
(843) 228-2402
Mailing address
1015 BOLLING AVE UNIT 309, NORFOLK, VA 23508-1612
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64081
CA
Other
Enumeration date
09/19/2014
Last updated
08/14/2024
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