JORDAN FREEARK

PARRIS ISLAND, SC
NPI1508268699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  64081)
Enumeration Date2014-09-19
Last Update Date2024-08-14
Business Address
JORDAN FREEARK DDS
674 BOULEVARD DE FRANCE
PARRIS ISLAND, SC 29905
Phone number: 843-228-2402
Mailing Address
JORDAN FREEARK DDS
1015 BOLLING AVE UNIT 309
NORFOLK, VA 23508-1612
Phone number:
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