Individual
DR. DAVID MICHAEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3727 ROSEWOOD DR, COLUMBIA, SC 29205-3531
(803) 771-7695
(803) 771-7283
Mailing address
3727 ROSEWOOD DR, COLUMBIA, SC 29205-3531
(803) 771-7695
(803) 771-7283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1943
SC
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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