| NPI | 1962797217 |
|---|---|
| Other Name | A JORDAN PRIESTLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 100101) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29673) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1001035) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-04-25 |