| NPI | 1902460033 |
|---|---|
| Doing Business As | JORGENSEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LYNETTE BUTTS Financial Coordinator 505-891-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |