Individual
DR. JORDAN SEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11535 MAIN ROAD, MATTITUCK, NY 11952
(631) 298-5021
Mailing address
30 SPYGLASS LN, EAST SETAUKET, NY 11733-1852
(631) 219-9597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051563-1
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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