Individual
MAKAYLA JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
132 COLE RD, MONROE, MI 48162-4104
(734) 242-7120
Mailing address
1496 20TH ST, WYANDOTTE, MI 48192-3012
(734) 775-8889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602135
MI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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