Most Relevant Information
Provider Data
| NPI Number: | 1003344300 |
| Provider Name: | JORDAN JOSEPH TELIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2017 |
| Last Updated: | 05/31/2017 |
Provider Practice Location
300 LONGWOOD AVE # HU-421
BOSTON
MA
021155724
Practice Location Phone/Fax
| Phone: | 6173552224 |
| Fax: |
Provider Mailing Location
98 QUEENSBERRY ST APT A
BOSTON
MA
022154717
Provider Mailing Phone/Fax
| Phone: | 4129920783 |
| Fax: |