Organization
WILLMAR FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M JORGENSON D.D.S. (C.E.O.)
(320) 235-2010
Entity
Organization
Contact information
Practice address
1016 1ST ST S, WILLMAR, MN 56201-3510
(320) 235-2010
Mailing address
1016 1ST ST S, WILLMAR, MN 56201-3510
(320) 235-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9800
MN
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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