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1477900363
JORDAN BARRY BENTON
ANNISTON, AL
NPI
1477900363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: AL D.0006122-C1)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
DR. JORDAN BARRY BENTON D.M.D.
1703 LEIGHTON AVE
ANNISTON, AL 36207-3832
Phone number: 256-237-1537
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Mailing Address
DR. JORDAN BARRY BENTON D.M.D.
1703 LEIGHTON AVE
ANNISTON, AL 36207-3832
Phone number:
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