Individual
AARON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 COMMERCE ST, YORKTOWN HEIGHTS, NY 10598-4400
(914) 962-7588
Mailing address
177 SHERWOOD PL, ENGLEWOOD, NJ 07631-3610
(917) 607-0669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061533
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2019
Last updated
12/02/2020
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