Individual
DR. JORDAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
VA MED CENTER, DENTAL, BRONX, NY 10468
(718) 584-9000
Mailing address
333 E 93RD ST, 1E, NY, NY 10128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
P51249
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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