JORDAN WAYNE SMITH

LOMA LINDA, CA
NPI1689295008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: CA  DDS105202)
Additional Taxonomies1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: CA  DDS105202)
208600000X Surgery
(Licence: CA  PTL14402)
Enumeration Date2020-04-27
Last Update Date2025-04-30
Business Address
JORDAN WAYNE SMITH DDS, MD
11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4671
Mailing Address
JORDAN WAYNE SMITH DDS, MD
301 9TH ST STE 119
REDLANDS, CA 92374-4497
Phone number: 308-661-4700
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