Individual
DR. PHILIP A. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4580 STEPHENS CIR NW, SUITE 102, CANTON, OH 44718-3644
(330) 494-6605
Mailing address
2626 CARRINGTON ST NW, NORTH CANTON, OH 44720-8159
(330) 499-1593
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21989
OH
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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