Individual
DR. MARY KRISTIN JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
224 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4171
(770) 536-1170
(770) 536-4653
Mailing address
4707 MARTIN RD, FLOWERY BRANCH, GA 30542-3508
(770) 965-1301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10968
GA
Other
Enumeration date
05/27/2005
Last updated
02/16/2011
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