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1811007602
TERRANCE KRAIG JORDEN
STOCKBRIDGE, GA
NPI
1811007602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN012518)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. TERRANCE KRAIG JORDEN DDS
105 NORTH PARK TRL SO SUITE 100
STOCKBRIDGE, GA 30281
Phone number: 678-289-8004
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Mailing Address
Dr. TERRANCE KRAIG JORDEN DDS
105 NORTH PARK TRL SO SUITE 100
STOCKBRIDGE, GA 30281
Phone number: 678-289-8004
Copy
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