Individual
DR. BRIAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7501 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4563
(763) 544-2213
(763) 541-1758
Mailing address
697 WILDER ST S, SAINT PAUL, MN 55116-1334
(651) 699-2415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11529
MN
Other
Enumeration date
11/29/2006
Last updated
10/31/2017
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