DR. Todd F Jorgenson, D.M.D., M.S.

NPI #1427101104 in Mesa, Arizona

Provider Information

NPI Number: 1427101104
Entity Type: Individual
Name: DR. Todd F Jorgenson, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.M.D., M.S.
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3048 E BASELINE RD
Address 2: SUITE 112
City: Mesa
State: Arizona
ZIP Code: 85204-7286
Phone: (480) 558-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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