RICHARD F JERGENSEN

MEDFORD, OR
NPI1063426518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D9422)
Additional Taxonomies122300000X Dentist
(Licence: CA  27771)
Enumeration Date2006-07-28
Last Update Date2016-12-29
Business Address
Dr. RICHARD F JERGENSEN DDS
11 ROSSANLEY DR
MEDFORD, OR 97501-1713
Phone number: 541-973-2983
Mailing Address
Dr. RICHARD F JERGENSEN DDS
2440 QUAIL RUN B-1
MEDFORD, OR 97504-6307
Phone number: 541-973-2983