Individual
DR. JORDAN MYRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13023 US HIGHWAY 301 S, RIVERVIEW, FL 33578-7439
(813) 518-5542
Mailing address
12143 LEDBURY COMMONS DR, GIBSONTON, FL 33534-3026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27210
FL
Other
Enumeration date
06/23/2022
Last updated
07/11/2023
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