Individual
DR. HENRY CHARLES JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 RIVERSTONE WAY, SUITE 1, FAIRBANKS, AK 99709-2940
(907) 455-4350
Mailing address
1547 S HIGGINS AVE, SUITE D, MISSOULA, MT 59801-4226
(406) 542-2742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11581
MT
122300000X
Dentist
1583
AK
Other
Enumeration date
09/16/2014
Last updated
09/20/2016
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