Individual
DR. PETER M JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1016 1ST ST S, WILLMAR, MN 56201-3510
(320) 235-2010
Mailing address
PO BOX 337, ANNANDALE, MN 55302-0337
(320) 274-7289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9800
MN
Other
Enumeration date
11/14/2006
Last updated
07/09/2007
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