Individual
BRUCE M JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 PASEO DEL NORTE, K-1, CARLSBAD, CA 92011
(760) 438-0948
(760) 438-7821
Mailing address
PO BOX 130939, CARLSBAD, CA 92013-0939
(760) 438-0948
(760) 438-7821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28010
CA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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