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1881796324
JACK DENZIL JORGENSEN
VANCOUVER, WA
NPI
1881796324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00009473)
Enumeration Date
2006-09-04
Last Update Date
2016-07-01
Business Address
Dr. JACK DENZIL JORGENSEN DMD
7107 NE VANCOUVER MALL DR SUITE #D
VANCOUVER, WA 98661-8178
Phone number: 360-892-6555
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Mailing Address
Dr. JACK DENZIL JORGENSEN DMD
7107 NE VANCOUVER MALL DR STE D
VANCOUVER, WA 98661-8179
Phone number: 360-892-6555
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