BRADLEY DAVID JORDAN

BROOKINGS, SD
NPI1841553708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SD  D1080)
Additional Taxonomies122300000X Dentist
(Licence: IA  08903)
Enumeration Date2012-06-15
Last Update Date2021-12-14
Business Address
Dr. BRADLEY DAVID JORDAN D.D.S.
802 20TH ST S
BROOKINGS, SD 57006-4663
Phone number: 605-697-6212
Mailing Address
Dr. BRADLEY DAVID JORDAN D.D.S.
802 20TH ST S
BROOKINGS, SD 57006-4663
Phone number: 605-697-6212
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