| Jordan Dental Group Inc | |
|
6120 Paseo Del Norte K1 Carlsbad CA 92011-1150 | |
| (760) 438-0948 | |
| (760) 438-7821 |
| Full Name | Jordan Dental Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6120 Paseo Del Norte, Carlsbad, California |
| Authorized Official Name and Position | Melissa Sue Nelson (OFFICE COORDINATOR) |
| Authorized Official Contact | 7604380948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Dental Group Inc Po Box 130939 Carlsbad CA 92013-0939 Ph: (760) 438-0948 | Jordan Dental Group Inc 6120 Paseo Del Norte K1 Carlsbad CA 92011-1150 Ph: (760) 438-0948 |
| NPI Number | 1245405877 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245405877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28010 (California) | Primary |
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