| NPI | 1780450858 |
|---|---|
| Doing Business As | JORDAN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NELSON VP, Revenue Cycle 469-450-6482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |