Most Relevant Information
Provider Data
NPI Number: | 1003236886 |
Provider Name: | JORDAN COMBS DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 63774 |
Most Important Dates
Enumeration Date: | 04/21/2014 |
Last Updated: | 11/17/2017 |
Provider Practice Location
725 W I ST
LOS BANOS
CA
936353478
Practice Location Phone/Fax
Phone: | 2098261094 |
Fax: | 2098267808 |
Provider Mailing Location
725 W I ST
LOS BANOS
CA
936353478
Provider Mailing Phone/Fax
Phone: | 2098261094 |
Fax: | 2098267808 |