Organization
SLOAN K JORGENSEN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JORGENSEN (BOOKKEEPER)
(509) 765-7853
Entity
Organization
Contact information
Practice address
823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
(509) 765-7853
Mailing address
823 E COLONIAL AVE, MOSES LAKE, WA 98837-4611
(509) 765-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008463
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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