Individual
MARK E. JENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
199 SW SHEVLIN HIXON DR, BEND, OR 97702-3201
(541) 330-5952
(541) 330-5935
Mailing address
199 SW SHEVLIN HIXON DR, BEND, OR 97702-3201
(541) 330-5952
(541) 330-5935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6517
OR
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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