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Organization
JERGENSEN DENTAL PC
Active
Organization
JERGENSEN DENTAL PC
Active
Parent organization
JERGENSEN DENTAL PC
Other names
Jergensen Dental PC Rodeo Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERGENSEN DENTAL PC
Authorized official
RYAN JERGENSEN (OWNER/DENTIST)
(510) 413-8413
Entity
Organization
Contact information
Practice address
301 RAILROAD AVE, RODEO, CA 94572-1126
(510) 799-4871
Mailing address
301 RAILROAD AVE, RODEO, CA 94572-1126
(510) 799-4871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59484
CA
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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