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1104237593
JORDAN POND
MESA, AZ
NPI
1104237593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D008952)
Enumeration Date
2014-05-19
Last Update Date
2015-01-13
Business Address
-- JORDAN POND DMD
9221 E BASELINE RD
MESA, AZ 85209-8310
Phone number: 480-357-7759
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Mailing Address
-- JORDAN POND DMD
3787 E CULLUMBER ST
GILBERT, AZ 85234-4318
Phone number: 480-294-5686
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