Jergensen Dental PC

NPI #1952798878 in Rodeo, California

Provider Information

NPI Number: 1952798878
Entity Type: Organization
Organization Name: Jergensen Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: JERGENSEN DENTAL PC
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 301 RAILROAD AVE
City: Rodeo
State: California
ZIP Code: 94572-1126
Phone: (510) 799-4871

Authorized Official

Name: RYAN JERGENSEN
Title: OWNER/DENTIST
Phone: (510) 413-8413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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