Individual
DR. KAILEE S JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
117 AUBURN ST, PORTLAND, ME 04103-6003
(207) 808-9694
Mailing address
117 AUBURN ST, PORTLAND, ME 04103-6003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4724
ME
Other
Enumeration date
06/11/2019
Last updated
01/22/2025
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