Individual
DR. NATHAN JOHN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
227 MERIDIAN DR, SUITE 1, NEW RICHMOND, WI 54017-2565
(715) 246-2111
(715) 246-2579
Mailing address
227 MERIDIAN DR, SUITE 1, NEW RICHMOND, WI 54017-2565
(715) 246-2111
(715) 246-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001264-15
WI
Other
Enumeration date
06/11/2014
Last updated
02/25/2016
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