Individual
DR. JORDAN BRUMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4204 BOULDER RIDGE RD STE 140, BISMARCK, ND 58503-6162
(701) 751-7300
(701) 250-0557
Mailing address
4204 BOULDER RIDGE RD STE 140, BISMARCK, ND 58503-6162
(701) 751-7300
(701) 250-0557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2412
ND
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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