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1740902006
MICHAEL EUGENE JORDAN
HIXSON, TN
NPI
1740902006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 12025)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
MICHAEL EUGENE JORDAN DMD
5550 HIGHWAY 153 STE 100
HIXSON, TN 37343-4991
Phone number: 423-875-2626
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Mailing Address
MICHAEL EUGENE JORDAN DMD
5081 CITY STATION DR APT 201
OOLTEWAH, TN 37363-7080
Phone number: 919-333-2258
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