Individual
DR. MICHELLE C JORDAN-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23250 MERCANTILE RD STE 110, BEACHWOOD, OH 44122-5928
(216) 920-9593
Mailing address
23250 MERCANTILE RD STE 110, BEACHWOOD, OH 44122-5928
(216) 920-9593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041470
PA
1223E0200X
Endodontics
Primary
30025830
OH
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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