Individual
MISS KARLEY KAY JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8296 ELLERSON GREEN TER, MECHANICSVILLE, VA 23116-1881
(804) 338-9713
Mailing address
8296 ELLERSON GREEN TER, MECHANICSVILLE, VA 23116-1881
(804) 338-9713
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205226
VA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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