Jordan Family Dental Pllc

NPI #1255024295 in Jordan, Minnesota

Provider Information

NPI Number
1255024295
Entity Type
Organization
Organization Name
Jordan Family Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 26, 2023
Last Updated
May 26, 2023

Practice Location

Address
301 EL DORADO DRIVE
City
Jordan
ZIP Code
55352
Phone
(952) 492-2021

Authorized Official

Name
MRS. KATIE MARIE FERRAZ-SOUZA, DDS
Title
DENTIST / OWNER
Phone
(952) 492-2021

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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