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Jordan Douglas
NPI 1063011799 · on the registry since 2020 · sole proprietor
Practice
- Address
- 460 N Mckinley St
Corona, CA 92879 - Phone
- (951) 531-9693
- Organisation at this address
- Trevor Thomas Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California