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Organization
NATHAN C. JORGENSON, DDS, PA
Active
Organization
NATHAN C. JORGENSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CRAIG JORGENSON DDS (OWNER)
(507) 235-9632
Entity
Organization
Contact information
Practice address
717 S STATE ST STE 600, FAIRMONT, MN 56031-4475
(507) 235-9632
(507) 235-5006
Mailing address
717 S STATE ST STE 600, FAIRMONT, MN 56031-4475
(507) 235-9632
(507) 235-5006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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