# SLOAN K JORGENSEN, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962956847
- **Authorized official:** AMY JORGENSEN (BOOKKEEPER)
- **Authorized official phone:** (509) 765-7853

## Contact information

- **Practice address:** 823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
- **Practice address phone:** (509) 765-7853
- **Mailing address:** 823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
- **Mailing address phone:** (509) 765-7853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008463 | WA | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 08/09/2016