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Individual

CLAYSON JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MBA

Contact information

Practice address
2725 WESTVIEW BLVD, SPARKS, NV 89434-9626
(775) 843-4354
Mailing address
2725 WESTVIEW BLVD, SPARKS, NV 89434-9626
(775) 843-4354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1640
WY

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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