Individual
JORDAN VIRDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21264-1510
(410) 955-5080
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6340
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16609
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
04/18/2024
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