Charles J Jordan, D.D.S.

NPI #1871565374 in Haysville, Kansas

Provider Information

NPI Number
1871565374
Entity Type
Individual
Name
Charles J Jordan, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Feb 7, 2006
Last Updated
Mar 7, 2012

Practice Location

Address
1425 W GRAND AVE STE 101
State
Kansas
ZIP Code
67060-1270
Phone
(316) 524-8661

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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