Individual
JORDAN S ARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 E 30TH ST BLDG 3, FARMINGTON, NM 87401-9407
(505) 327-9161
Mailing address
4760 N BUTLER AVE, SUITE C, FARMINGTON, NM 87401-0816
(505) 327-0044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4118
NM
Other
Enumeration date
06/25/2014
Last updated
04/01/2021
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