Brent Lee Jorgensen
NPI #1275172181 in Espanola, New Mexico
Provider Information
- NPI Number
- 1275172181
- Entity Type
- Individual
- Name
- Brent Lee Jorgensen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 26, 2019
- Last Updated
- Dec 26, 2019
Practice Location
- Address
- 1508 N RIVERSIDE DR
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2064
- Phone
- (888) 988-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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