# JENSEN & BROWN, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235582545
- **Authorized official:** DR. KEVIN M BROWN DDS (DENTIST/CO OWNER)
- **Authorized official phone:** (425) 454-7690

## Contact information

- **Practice address:** 11 105TH AVE SE STE 11, BELLEVUE, WA 98004-6281
- **Practice address phone:** (425) 454-7690
- **Mailing address:** 11 105TH AVE SE STE 11, BELLEVUE, WA 98004-6281
- **Mailing address phone:** (425) 454-7690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5581 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1780706580 | — | WA |