Individual
DR. JORDAN ALBERT BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
(770) 463-9184
Mailing address
501 PARK ST, PALMETTO, GA 30268-1007
(770) 463-4541
(770) 463-9184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013693
GA
Other
Enumeration date
02/11/2009
Last updated
08/30/2023
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