JUSTIN JERGENSEN, DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1205125242

Practice Address

1900 PENNSYLVANIA AVE
Fairfield, CA 94533

Phone: (707) 422-3884

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X No 63313 (CA)
Dentist 122300000X No 63313 (CA)

Frequently Asked Questions

NPI 1205125242 is the National Provider Identifier for JUSTIN JERGENSEN, DDS, MS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Fairfield, CA. This NPI was enumerated on March 30, 2011.
JUSTIN JERGENSEN, DDS, MS practices at 1900 PENNSYLVANIA AVE, Fairfield, CA 94533.

Quick Facts

NPI
1205125242
Type
Individual
Enumerated
Mar 30, 2011
Last Updated
Feb 11, 2015

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