DR. Lisa M Jordan, D.D.S.

NPI #1396090965 in Windsor, Connecticut

Provider Information

NPI Number: 1396090965
Entity Type: Individual
Name: DR. Lisa M Jordan, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 106 BLOOMFIELD AVE
City: Windsor
State: Connecticut
ZIP Code: 06095-2813
Phone: (860) 688-2679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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