DR. William Brandon Jergensen, DDS

NPI #1770771867 in Ramona, California

Provider Information

NPI Number: 1770771867
Entity Type: Individual
Name: DR. William Brandon Jergensen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 15, 2007
Last Updated: May 22, 2008

Practice Location

Address: 1668 MAIN ST
Address 2: SUITE B-1
City: Ramona
State: California
ZIP Code: 92065-5258
Phone: (760) 789-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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