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JORDAN CHASE MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1325 HOVER ST STE 201, LONGMONT, CO 80501-3176
(303) 772-8020
Mailing address
100 S 1ST ST, BLOOMFIELD, NM 87413-6242
(505) 632-3344

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5161
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023344181
NM
Enumeration date
10/25/2019
Last updated
04/28/2021
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