ETHAN E JORDAN

NEW ORLEANS, LA
NPI1427858232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  7701)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-19
Last Update Date2025-06-18
Business Address
Mr. ETHAN E JORDAN DMD
1100 FLORIDA AVENUE BOX 18, ROOM 5321
NEW ORLEANS, LA 70119-2799
Phone number: 504-941-8212
Mailing Address
Mr. ETHAN E JORDAN DMD
PO BOX 42
FRYEBURG, ME 04037-0042
Phone number: 207-890-1349
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