Jordan Douglas
NPI 1063011799 · Dentist · Corona, CA
Jordan Douglas is a Dentist provider in Corona, CA (NPI 1063011799).
Provider details
- NPI number
- 1063011799
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 105748 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.