Individual
DR. SHONNA MARIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
540 VILLAGE WALK LN, SUITE E, JOHNSON CREEK, WI 53038-9554
(920) 699-2554
(920) 699-3059
Mailing address
540 VILLAGE WALK LN, SUITE E, JOHNSON CREEK, WI 53038-9554
(920) 699-2554
(920) 699-3059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6203-15
WI
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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