Individual
DR. PATRICK M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2825 S MAIN ST, MARYVILLE, MO 64468-3605
(660) 582-8601
(660) 582-8630
Mailing address
2825 S MAIN ST, MARYVILLE, MO 64468-3605
(660) 582-8601
(660) 582-8630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2009013221
MO
Other
Enumeration date
06/04/2009
Last updated
11/11/2010
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