Individual
DR. TAYLOR NICOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804-3755
(417) 889-4746
Mailing address
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804-3755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018019658
MO
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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