Individual
DR. JORDAN VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4514 ENVIRON WAY, CHAPEL HILL, NC 27517-4455
(919) 265-3439
Mailing address
4514 ENVIRON WAY, CHAPEL HILL, NC 27517-4455
(919) 265-3439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10393
NC
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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