Organization
JORDAN DENTAL /SELF
Active
Other names
Jordan Dental /self
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT JORDAN (DENTIST)
(308) 870-3967
Entity
Organization
Contact information
Practice address
130 W OLD HIGHWAY 2, MERNA, NE 68856-5627
(308) 870-3967
Mailing address
130 W OLD HIGHWAY 2, MERNA, NE 68856-5627
(308) 870-3967
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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