Organization
GREG JORGENSEN, DMD, MS PC
Active
Organization
GREG JORGENSEN, DMD, MS PC
Active
Other names
Jorgensen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE BUTTS (FINANCIAL COORDINATOR)
(505) 891-9440
Entity
Organization
Contact information
Practice address
1401 BARBARA LOOP SE, RIO RANCHO, NM 87124-1056
(505) 891-9440
(505) 994-9743
Mailing address
1401 BARBARA LOOP SE, RIO RANCHO, NM 87124-1056
(505) 891-9440
(505) 994-9743
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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