Search › New Mexico › 1223X0400X
Brent Jorgensen
NPI 1275172181 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1508 N Riverside Dr
Espanola, NM 87532 - Phone
- (888) 988-4066
- Organisation at this address
- Familia Dental Esp Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico