Individual
JORDAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1705 AMHERST ST STE L02, WINCHESTER, VA 22601-3346
(540) 773-3282
Mailing address
1705 AMHERST ST STE L02, WINCHESTER, VA 22601-3346
(540) 773-3282
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402208689
VA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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