DR. Justin Richard Jordan, DMD
NPI #1790464022 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1790464022
- Entity Type
- Individual
- Name
- DR. Justin Richard Jordan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 13, 2023
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 1667 COCHRANE CIR BLDG 7495
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4603
- Phone
- (719) 526-5537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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