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Laura Jordan, DDS

Dentist, General Practice in Silver Spring, MD. Individual provider (NPI-1).

NPI number1164041414
StatusActive
Last updated in NPPESOct 6, 2024

Details

NPI
1164041414
Entity type
Individual (NPI-1)
Name
Mrs. Laura Jordan
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2020
Certification date
Oct 6, 2024
Last updated
Oct 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice18030MDYes

Practice location

724 Cloverly St
Silver Spring, MD 20905-4161

Phone 240-209-9128

Mailing address

724 Cloverly St
Silver Spring, MD 20905-4161

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