| NPI | 1770155079 |
|---|---|
| Doing Business As | JORDAN CARL DMD |
| Entity Type | Organization |
| Authorized Contact | JORDAN CARL Owner 209-625-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |