DR. Braiden Demar Jorgensen, DDS

NPI #1649847310 in Jackson, Wyoming

Provider Information

NPI Number: 1649847310
Entity Type: Individual
Name: DR. Braiden Demar Jorgensen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 9, 2021
Last Updated: Jun 9, 2021

Practice Location

Address: 610 W BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8213
Phone: (307) 732-2273

Specialties & Taxonomy Codes

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

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