Cimilluca, Jordan

Cimilluca, Jordan is an individual health care provider with primary practice located at 8901 Wisconsin Avenue Walter Reed Military Medical Center, Bethesda MD 20889. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Cimilluca, Jordan can be contacted via phone (301) 295-4341.

Contact Information

Primary practice address
8901 Wisconsin Avenue Walter Reed Military Medical Center Bethesda MD 20889
Phone: (301) 295-4341
Fax: (301) 400-1085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00205129 Colorado
Other Service Providers / Military Health Care Provider 171000000X 00205129 Colorado

Profile Details

NPI number 1043967342
LBN Legal business name Cimilluca, Jordan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2022
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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