JORDAN SAMUEL SPARKS

SALEM, OR
NPI1679608723
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7601)
Enumeration Date2007-02-22
Last Update Date2023-05-24
Business Address
JORDAN SAMUEL SPARKS D.M.D.
3265 MARIETTA ST SE
SALEM, OR 97317-9402
Phone number: 503-910-0557
Mailing Address
JORDAN SAMUEL SPARKS D.M.D.
3265 MARIETTA ST SE
SALEM, OR 97317-9402
Phone number: 503-910-0557
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