Individual
DR. AARON RUSS JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
1332 W HERNDON AVE, STE. 103, FRESNO, CA 93711-7118
(559) 437-7120
Mailing address
2554 E OMAHA AVE, FRESNO, CA 93720-4908
(415) 407-7605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
009864
CT
1223E0200X
Endodontics
Primary
56503
CA
Other
Enumeration date
06/10/2008
Last updated
09/24/2010
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