Organization
JORGENSEN ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JORGENSEN DMD, MS (PARTNER)
(505) 891-9440
Entity
Organization
Contact information
Practice address
1401 BARBARA LOOP SE, RIO RANCHO, NM 87124-1056
(505) 891-9440
Mailing address
1401 BARBARA LOOP SE, RIO RANCHO, NM 87124-1056
(505) 891-9440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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