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JORDAN DIAMOND DMD

Individual Provider (NPI-1) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1295155455
Provider Type
Individual Provider (NPI-1)
Credentials
DMD
Status
Active

Contact & Location

Address
2204 E 29TH AVE STE 104, SPOKANE, WA, 99203
Phone
(509) 321-1404

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery License: WA #DE60824201
Oral & Maxillofacial Surgery Primary License: WA #DE60824201

All Addresses

LOCATION

2204 E 29TH AVE STE 104

SPOKANE, WA, 99203

(509) 321-1404

MAILING

2204 E 29TH AVE STE 104

SPOKANE, WA, 992033961

(509) 321-1404