Individual
JORDAN JAMAL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 BEVILLE RD STE 403, DAYTONA BEACH, FL 32114
(386) 253-6634
Mailing address
1500 BEVILLE RD STE 403, DAYTONA BEACH, FL 32114-5644
(386) 253-6634
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN24607
FL
Other
Enumeration date
02/19/2019
Last updated
02/06/2020
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