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1427101104
TODD F JORGENSON
MESA, AZ
NPI
1427101104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: AZ 5804)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. TODD F JORGENSON D.M.D., M.S.
3048 E BASELINE RD SUITE 112
MESA, AZ 85204-7286
Phone number: 480-558-4500
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Mailing Address
Dr. TODD F JORGENSON D.M.D., M.S.
3048 E BASELINE RD SUITE 112
MESA, AZ 85204-7286
Phone number: 480-558-4500
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