Jergensen Dental PC

NPI #1225458714 in Watsonville, California

Provider Information

NPI Number: 1225458714
Entity Type: Organization
Organization Name: Jergensen Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2014
Last Updated: Apr 23, 2014

Practice Location

Address: 24 ALEXANDER ST
City: Watsonville
State: California
ZIP Code: 95076-4609
Phone: (831) 728-0232

Authorized Official

Name: RYAN JERGENSEN
Title: DDS
Phone: (510) 413-8413

Specialties & Taxonomy Codes

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

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