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THOMAS ANDREW JORDAN D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1932157211

Individual Registrant:
 THOMAS ANDREW JORDAN D.D.S
Gender: M

Location and contact information for practice:
CMR 402 APO AE 09180 AVE LANDSTUHL DENTAL ACTIVITY APO AE 09180, NY 09180 US
Tel: 904-471-7781  Fax: --

Contact information for business:
APO AE 09180  APO AE 09180, NY 09180 US
Tel: --  Fax: --

Registration Information:
NPI: 1932157211
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TN0000003298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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