Individual
DR. IVETTE JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D, M.P.H
Contact information
Practice address
3030 N 3RD ST STE 900, PHOENIX, AZ 85012-3048
(602) 274-8181
(602) 274-8181
Mailing address
PO BOX 32745, PHOENIX, AZ 85016-5420
(786) 201-6201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9291
AZ
Other
Enumeration date
09/02/2015
Last updated
09/18/2019
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