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Individual

DR. JORDAN MICHAEL BINIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
408 LANCASTER DR NE, SALEM, OR 97301-4728
(419) 410-5079
Mailing address
408 LANCASTER DR NE, SALEM, OR 97301-4728
(419) 410-5079

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055555
NY

Other

Enumeration date
08/04/2010
Last updated
01/14/2013
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