John R. Jordan, D.D.S.

General Dentistry · Detroit Lakes, MN

Primary taxonomy

1223G0001X

Enumerated

2006-07-31

Practice location

Detroit Lakes, MN

Last NPPES update

2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.