| Jergensen Dental Pc | |
|
24 Alexander St Watsonville CA 95076-4609 | |
| (831) 728-0232 | |
| Not Available |
| Full Name | Jergensen Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Alexander St, Watsonville, California |
| Authorized Official Name and Position | Ryan Jergensen (DDS) |
| Authorized Official Contact | 5104138413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jergensen Dental Pc 24 Alexander St Watsonville CA 95076-4609 Ph: (831) 728-0232 | Jergensen Dental Pc 24 Alexander St Watsonville CA 95076-4609 Ph: (831) 728-0232 |
| NPI Number | 1225458714 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225458714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59484 (California) | Primary |
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