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Individual

ANDREW B JORDAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1405 S JOHN REDDITT DR, LUFKIN, TX 75904-4811
(936) 632-6609
(936) 637-3982
Mailing address
1405 S JOHN REDDITT DR, LUFKIN, TX 75904-4811
(936) 632-6609
(936) 637-3982

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7888
TX

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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