Organization
DENTAL HYGIENE PRACTICE OF GUADALUPE JORDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE VIRGINIA JORDAN (RDHAP)
(951) 977-0668
Entity
Organization
Contact information
Practice address
1391 TULIP CIR S, BEAUMONT, CA 92223-8458
(951) 977-0668
Mailing address
1391 TULIP CIR S, BEAUMONT, CA 92223-8458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/24/2024
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