Jordan Kenneth Grant D.M.D.

NPI 1003996034 - Dentist - 1223G0001X

NPI Details
NPI 1003996034
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5000 CHICHESTER AVE
ASTON PA, 19014-2333, US
Phone (610) 485-1991
Fax (610) 494-6233
Business Location
661 CHRISTOPHER LN
ASTON PA, 19014-1476, US
Phone (215) 882-3448
Fax (610) 494-6233
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS035128
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According to our database, Dr. Jordan Kenneth Grant D.M.D. NPI is 1003996034, taxonomy code is 1223G0001X and license number is DS035128, license state is located at Pennsylvania. Jordan Kenneth Grant D.M.D. physically located at 5000 Chichester Ave, Aston PA, 19014-2333. NPI Number Jordan Kenneth Grant D.M.D. has the Individual type.

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1003996034 NPI number is provided on an as is basis without warranty of any kind. 1003996034 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Kenneth Grant D.M.D. are for informational purposes only.