JORDAN A TORTORICH
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1457626806- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4220 N RODNEY PARHAM RD STE 103, LITTLE ROCK, AR, 722122466
- Phone
- (501) 224-8332
- Fax
- (501) 219-8003
Specialties & Taxonomies
Dentist, General Practice
License: IA #40129
Dentist, Oral and Maxillofacial Surgery
License: IA #DDS-09138
Dentist, Oral and Maxillofacial Surgery
Primary License: AR #4420