Organization
TAL D. JERGENSEN, DDS INC
Active
Other names
Tal D Jergensen DDS Orthodontics, Miles of Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAL JERGENSEN DDS (OWNER)
(951) 693-9373
Entity
Organization
Contact information
Practice address
43980 MARGARITA RD STE 101, TEMECULA, CA 92592-2783
(951) 693-9373
Mailing address
43980 MARGARITA RD STE 101, TEMECULA, CA 92592-2783
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
04/07/2026
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