Organization
JAY C JORGENSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY CHRISTOPHER JORGENSON DDS (DOCTOR)
(218) 237-7200
Entity
Organization
Contact information
Practice address
406 PLEASANT AVE, PARK RAPIDS, MN 56470
(218) 237-7200
Mailing address
406 PLEASANT AVE, PARK RAPIDS, MN 56470
(218) 237-7200
(218) 237-7201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10984
MN
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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