Diamond, Jordan

Diamond, Jordan is an sole proprietor health care provider with primary practice located at 2204 E 29Th Ave Ste 104 , Spokane WA 99203. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Diamond, Jordan can be contacted via phone (509) 321-1404.

Contact Information

Primary practice address
2204 E 29Th Ave Ste 104 Spokane WA 99203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE60824201 Washington

Profile Details

NPI number 1295155455
LBN Legal business name Diamond, Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2014
Last updated May 31st, 2023 - about last year

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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