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1518516392
CHARLES JORDAN
STATESBORO, GA
NPI
1518516392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN015930)
Enumeration Date
2019-09-05
Last Update Date
2019-11-12
Business Address
Dr. CHARLES JORDAN DMD
412 NORTHSIDE DR E
STATESBORO, GA 30458-4802
Phone number: 912-225-0777
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Mailing Address
Dr. CHARLES JORDAN DMD
1713 GREEN ACRES DR
VIDALIA, GA 30474-8531
Phone number: 912-293-4642
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