| Brent Lee Jorgensen, | |
|
1508 N Riverside Dr, Espanola, NM 87532-2064 | |
| (888) 988-4066 | |
| Not Available |
| Full Name | Brent Lee Jorgensen |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1508 N Riverside Dr, Espanola, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275172181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DD4795 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Lee Jorgensen, 2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166 Ph: (888) 988-4066 | Brent Lee Jorgensen, 1508 N Riverside Dr, Espanola, NM 87532-2064 Ph: (888) 988-4066 |
Robert J Manzanares, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 232 Paseo De Onate, Espanola, NM 87532 Phone: 505-753-7246 Fax: 505-753-4359 | |
Dr. Michael Stephen Dondelinger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 608 Lajoya St., Suite B, Espanola, NM 87532 Phone: 505-753-9454 Fax: 505-753-1212 | |
Muhammad Atif Khan, Dentist Medicare: Medicare Enrolled Practice Location: 1508 N Riverside Dr, Espanola, NM 87532 Phone: 888-988-4066 | |
Hykal R Khosravibabadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1508 N Riverside Dr, Espanola, NM 87532 Phone: 505-753-0544 | |
Dr. Tess Simmons, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 704 La Joya St Ste A, Espanola, NM 87532 Phone: 505-753-2230 Fax: 505-753-7163 | |
Dr. Valerie Nicole Lapolla, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Rr 5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039 |