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Organization
BELLINGHAM FAMILY DENTISTRY
Active
Organization
BELLINGHAM FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R JORGENSON DDS (OWNER)
(360) 733-5400
Entity
Organization
Contact information
Practice address
3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
(360) 733-5400
(360) 715-9196
Mailing address
3628 MERIDIAN ST STE 1C, BELLINGHAM, WA 98225-1735
(360) 733-5400
(360) 715-9196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010175
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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