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1649559758
RYAN W. JERGENSEN, DDS, PROFESSIONAL CORPORATION
FREMONT, CA
NPI
1649559758
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Entity Type
Organization
Authorized Contact
RYAN W. JERGENSEN
President
510-797-8991
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 59484)
Enumeration Date
2011-08-06
Last Update Date
2011-08-06
Business Address
RYAN W. JERGENSEN, DDS, PROFESSIONAL CORPORATION
2243 MOWRY AVE STE B
FREMONT, CA 94538-1630
Phone number: 510-797-8991
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Mailing Address
RYAN W. JERGENSEN, DDS, PROFESSIONAL CORPORATION
2243 MOWRY AVE STE B
FREMONT, CA 94538-1630
Phone number: 510-797-8991
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