| Jergensen Dental Pc Rodeo Office | |
|
301 Railroad Ave Rodeo CA 94572-1126 | |
| (510) 799-4871 | |
| Not Available |
| Full Name | Jergensen Dental Pc Rodeo Office |
|---|---|
| Speciality | Dentist |
| Location | 301 Railroad Ave, Rodeo, California |
| Authorized Official Name and Position | Ryan Jergensen (OWNER/DENTIST) |
| Authorized Official Contact | 5104138413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jergensen Dental Pc Rodeo Office 301 Railroad Ave Rodeo CA 94572-1126 Ph: (510) 799-4871 | Jergensen Dental Pc Rodeo Office 301 Railroad Ave Rodeo CA 94572-1126 Ph: (510) 799-4871 |
| NPI Number | 1952798878 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952798878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59484 (California) | Primary |
Rodeo Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Railroad Ave, Rodeo, CA 94572 Phone: 510-455-7486 Fax: 877-739-4950 | |
Porteous & Burke Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 667 Parker Ave, Rodeo, CA 94572 Phone: 510-799-4746 Fax: 510-799-5475 |