JORDAN JACOB ROBERTS

MISSOULA, MT
NPI1134780125
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MT  17391)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
JORDAN JACOB ROBERTS D.D.S.
401 RAILROAD ST W
MISSOULA, MT 59802-4109
Phone number: 406-258-4789
Mailing Address
JORDAN JACOB ROBERTS D.D.S.
415 ERIE ST SE APT 302
MINNEAPOLIS, MN 55414-3047
Phone number: 218-850-0590
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