Individual
DR. LEONARD MEYER JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1601 WALNUT ST, SUITE 704 MED ARTS BLDG, PHILADELPHIA, PA 19102-2944
(215) 496-0481
(215) 496-9887
Mailing address
1601 WALNUT ST, SUITE 704 MED ARTS BLDG, PHILADELPHIA, PA 19102-2944
(215) 496-0481
(215) 496-9887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019979L
PA
Other
Enumeration date
04/23/2007
Last updated
11/04/2010
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