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1043436892
BRUCE S JORDAN
LEXINGTON, KY
NPI
1043436892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 5744)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Dr. BRUCE S JORDAN DMD
3700 WILLOW RIDGE RD
LEXINGTON, KY 40514-1562
Phone number: 859-223-5909
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Mailing Address
Dr. BRUCE S JORDAN DMD
3700 WILLOW RIDGE RD
LEXINGTON, KY 40514-1562
Phone number: 859-223-5909
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