Individual
DR. JORDAN EMILEA LENTFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
691 MURPHY RD, SUITE 210, MEDFORD, OR 97504-4346
(541) 773-2625
Mailing address
691 MURPHY RD, SUITE 210, MEDFORD, OR 97504-4346
(541) 773-2625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D8929
OR
1223P0221X
Pediatric Dentistry
Primary
D8929
OR
Other
Enumeration date
07/20/2007
Last updated
11/18/2016
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