Individual
DR. RUSSELL RAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1804 38TH ST SOUTH, GREAT FALLS, MT 59405
(801) 592-5695
Mailing address
1804 38TH ST SOUTH, GREAT FALLS, MT 59405
(801) 592-5695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-6013
MT
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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