Individual
DR. TONY MERRILL JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12226 S 1000 E, SUITE #4, DRAPER, UT 84020-8205
(801) 571-6663
(801) 571-1219
Mailing address
1271 EAST MANFIELD WAY, DRAPER, UT 84020
(801) 571-6663
(801) 571-1219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
266564
UT
Other
Enumeration date
11/18/2006
Last updated
07/08/2007
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