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1245398338
GEORGE JORDAN
FRESH MEADOWS, NY
NPI
1245398338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 036620)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Dr. GEORGE JORDAN dds
18505 BOOTH MEMORIAL AVE
FRESH MEADOWS, NY 11365-2241
Phone number: 718-357-5332
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Mailing Address
Dr. GEORGE JORDAN dds
18505 BOOTH MEMORIAL AVE
FRESH MEADOWS, NY 11365-2241
Phone number: 718-357-5332
Copy
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