Individual
OWEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
233 N HICKORY AVE, BEL AIR, MD 21014-3297
(410) 838-1166
Mailing address
233 N HICKORY AVE, BEL AIR, MD 21014-3297
(410) 838-1166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15288
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2012
Last updated
12/15/2021
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