Individual
ROBERT ERIC JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22619 SE 64TH PL, SUITE 230, ISSAQUAH, WA 98027-5342
(425) 391-0484
(425) 391-4002
Mailing address
6025 HAZELWOOD LN SE, BELLEVUE, WA 98006-2615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BUS03-01498
WA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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