Individual
DR. TERRANCE KRAIG JORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 NORTH PARK TRL SO, SUITE 100, STOCKBRIDGE, GA 30281
(678) 289-8004
(678) 565-9696
Mailing address
105 NORTH PARK TRL SO, SUITE 100, STOCKBRIDGE, GA 30281
(678) 289-8004
(678) 565-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012518
GA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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