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Organization
JENSEN C SUN DDS INC
Active
Organization
JENSEN C SUN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENSEN C SUN DDS (OWNER)
(408) 264-9203
Entity
Organization
Contact information
Practice address
1300 MERIDIAN AVE, SAN JOSE, CA 95125-5211
(408) 264-9203
(408) 264-4676
Mailing address
1300 MERIDIAN AVE, SAN JOSE, CA 95125-5211
(408) 264-9203
(408) 264-4676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31868
CA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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