Individual
DR. RYAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4100 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2974
(712) 274-2038
Mailing address
4100 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2974
(712) 274-2038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09011
IA
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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