Katie Jordan, RDH

NPI #1033686464 in Lathrup Village, Michigan

Provider Information

NPI Number: 1033686464
Entity Type: Individual
Name: Katie Jordan, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 18190 RAINBOW DR
City: Lathrup Village
State: Michigan
ZIP Code: 48076-4518
Phone: (313) 505-6665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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