Brent Lee Jorgensen
Brent Lee Jorgensen is an Orthodontics and Dentofacial Orthopedics Dentistry in Espanola, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2019
Practice location Address checks out
1508 N Riverside DrEspanola, NM 87532-2064
Phone: (888) 988-4066
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence DD4795 (NM) |
|---|
Record details
| NPI number | 1275172181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2019 |
| Last updated in NPPES | December 26, 2019 |
| Certification date | December 26, 2019 |
| Mailing address | 2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166 |