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1477281012
DANIEL RICHARD JORDAN
JACKSONVILLE, FL
NPI
1477281012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO DEN.00205296)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
Dr. DANIEL RICHARD JORDAN DDS
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL 32212-0140
Phone number: 725-760-3213
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Mailing Address
Dr. DANIEL RICHARD JORDAN DDS
26450 RIDGE VALE DR
SANTA CLARITA, CA 91321-2222
Phone number: 661-361-6986
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