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1033550959
JORDAN SCOTT JOHNSTON
PALM COAST, FL
NPI
1033550959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 20179)
Enumeration Date
2013-07-08
Last Update Date
2014-01-30
Business Address
Dr. JORDAN SCOTT JOHNSTON DMD
4A OLD KINGS RD.
PALM COAST, FL 32605
Phone number: 386-338-2788
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Mailing Address
Dr. JORDAN SCOTT JOHNSTON DMD
4A OLD KINGS RD.
PALM COAST, FL 32605
Phone number: 386-338-2826
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