Individual
JENNIFER LEE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
745 SOMMERS ST N, HUDSON, WI 54016-2314
(715) 381-9785
Mailing address
1090 WILSON AVE, SAINT PAUL, MN 55106-5740
(715) 781-7160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002370
WI
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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