Individual
MR. MICHAEL RYAN JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
509 OLIVE WAY STE 1149, SEATTLE, WA 98101-1724
(206) 682-3888
(206) 682-1694
Mailing address
509 OLIVE WAY STE 1149, SEATTLE, WA 98101-1724
(206) 682-3888
(206) 382-1694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010175
WA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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