Organization
JENSEN & BROWN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M BROWN DDS (DENTIST/CO OWNER)
(425) 454-7690
Entity
Organization
Contact information
Practice address
11 105TH AVE SE STE 11, BELLEVUE, WA 98004-6281
(425) 454-7690
Mailing address
11 105TH AVE SE STE 11, BELLEVUE, WA 98004-6281
(425) 454-7690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780706580
—
WA
Enumeration date
07/21/2016
Last updated
07/21/2016
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