Dental Hygiene Practice of Guadalupe Jordan
NPI #1669215315 in Beaumont, California
Provider Information
- NPI Number
- 1669215315
- Entity Type
- Organization
- Organization Name
- Dental Hygiene Practice of Guadalupe Jordan
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Jun 18, 2024
- Last Updated
- Jun 24, 2024
Practice Location
- Address
- 1391 TULIP CIR S
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-8458
- Phone
- (951) 977-0668
Authorized Official
- Name
- GUADALUPE VIRGINIA JORDAN
- Title
- RDHAP
- Phone
- (951) 977-0668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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