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1013403963
JORDAN SCOTT BLUMENTHAL
MEDIA, PA
NPI
1013403963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DSO41768)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
JORDAN SCOTT BLUMENTHAL DMD
6 ORIOLE AVE
MEDIA, PA 19063-4515
Phone number: 610-679-6109
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Mailing Address
JORDAN SCOTT BLUMENTHAL DMD
1310 COLTON RD
GLADWYNE, PA 19035-1104
Phone number: 610-999-5501
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