Individual
CARSON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
138 JUNCTION RD, MADISON, WI 53717-2687
(608) 833-1100
Mailing address
7638 CARRINGTON DR APT A, MADISON, WI 53719-2056
(480) 815-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001591-15
WI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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