Individual
DR. SLOAN KENNETH JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
(509) 765-7853
Mailing address
823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
(509) 765-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008463
WA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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