Individual
DR. MICHAEL JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3151 S HOOVER ST, LOS ANGELES, CA 90089-7792
(213) 740-2012
Mailing address
3151 S HOOVER ST, LOS ANGELES, CA 90089-7792
(213) 740-2012
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51749
CA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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