DR. Thomas Lyle Jorgensen, D.D.S.

NPI #1831312958 in Brush, Colorado

Provider Information

NPI Number
1831312958
Entity Type
Individual
Name
DR. Thomas Lyle Jorgensen, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
412 EDISON ST
City
Brush
ZIP Code
80723-2130
Phone
(970) 842-0220

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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