Organization
ADVANCED DENTAL SLEEP SOLUTIONS LLC
Active
Parent organization
JACK D JORGENSEN DMD PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACK D JORGENSEN DMD PS
Authorized official
DR. JACK DENZIL JORGENSEN DMD (PRESIDENT)
(360) 892-6555
Entity
Organization
Contact information
Practice address
7107 NE VANCOUVER MALL DR, SUITE D, VANCOUVER, WA 98661-8178
(360) 892-6555
(360) 892-4170
Mailing address
7107 NE VANCOUVER MALL DR, SUITE D, VANCOUVER, WA 98661-8178
(360) 892-6555
(360) 892-4170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/20/2017
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