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Jack D Jorgensen Dmd Ps
Dental Clinic/Center in Vancouver, Washington
NPI 1053413591

Jack D Jorgensen Dmd Ps is a Dental Clinic/Center based in Vancouver, WA and is specialized in Dental. Jack D Jorgensen Dmd Ps practices in Vancouver, WA. The NPI Number for Jack D Jorgensen Dmd Ps is 1053413591 and holds a License No. DE00009473 (Washington).

The current practice location address for Jack D Jorgensen Dmd Ps is 7107 Ne Vancouver Mall Dr, Vancouver, WA and can be reached out via phone at 360-892-6555 and via fax at 360-892-4170.

Location: 7107 Ne Vancouver Mall Dr, Vancouver, WA, 98661-8178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053413591
Provider Name
Jack D Jorgensen Dmd Ps
Credential
Provider Entity Type
Organization
Address
7107 Ne Vancouver Mall Dr, Vancouver, WA, 98661-8178
Phone Number
360-892-6555
Fax Number
360-892-4170
Provider Enumeration Date
09/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7107 Ne Vancouver Mall Dr
City
Vancouver
State
Washington
Zip
98661-8178
Phone Number
360-892-6555
Fax Number
360-892-4170
person
Provider Business Mailing Address Details
Address
7107 Ne Vancouver Mall Dr
City
Vancouver
State
Washington
Zip
98661-8178
Phone Number
360-892-6555
Fax Number
360-892-4170
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DE00009473 (Washington)
Definition
Definition to come...
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