| Tal D. Jergensen, Dds Inc | |
|
43980 Margarita Rd Ste 101 Temecula CA 92592-2783 | |
| (951) 693-9373 | |
| Not Available |
| Full Name | Tal D. Jergensen, Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 43980 Margarita Rd Ste 101, Temecula, California |
| Authorized Official Name and Position | Tal Jergensen (OWNER) |
| Authorized Official Contact | 9516939373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tal D. Jergensen, Dds Inc 43980 Margarita Rd Ste 101 Temecula CA 92592-2783 Ph: () - | Tal D. Jergensen, Dds Inc 43980 Margarita Rd Ste 101 Temecula CA 92592-2783 Ph: (951) 693-9373 |
| NPI Number | 1477287126 |
|---|---|
| Provider Enumeration Date | 07/10/2022 |
| Last Update Date | 07/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477287126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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