Individual
DR. DAVID CHARLES JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
825 W US HIGHWAY 10 31, SCOTTVILLE, MI 49454-9601
(616) 887-7398
Mailing address
13105 MYERS LAKE AVE NE, CEDAR SPRINGS, MI 49319-9524
(616) 446-0002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020185
MI
Other
Enumeration date
06/28/2010
Last updated
02/17/2014
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