Individual
DR. SARAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 WASHINGTON ST, NEWTONVILLE, MA 02458-1386
(212) 410-6969
Mailing address
308 CHELSEA ST UNIT 3, BOSTON, MA 02128-1745
(603) 682-3086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057961
NY
122300000X
Dentist
DN1857553
MA
1223G0001X
General Practice Dentistry
Primary
DN1857553
MA
Other
Enumeration date
02/19/2014
Last updated
03/24/2022
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