DR. Jeremy Brian Jorgenson, DDS

NPI #1013204627 in Costa Mesa, California

Provider Information

NPI Number: 1013204627
Entity Type: Individual
Name: DR. Jeremy Brian Jorgenson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 3, 2011
Last Updated: Jul 29, 2014

Practice Location

Address: 3033 BRISTOL ST
Address 2: STE AA
City: Costa Mesa
State: California
ZIP Code: 92626-3001
Phone: (714) 424-9099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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