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Individual

DR. PETER MARSHALL JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-4516
(505) 925-4031
(505) 925-7800
Mailing address
1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-4516
(505) 925-4031
(505) 925-7800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1990
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10075011
NM
Enumeration date
11/14/2005
Last updated
05/04/2012
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