Individual
DR. MICHAEL KENNETH JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
406 SE 131ST AVE, STE 202, VANCOUVER, WA 98683-4004
(360) 253-9542
(360) 253-9589
Mailing address
3712 NE 131ST ST, VANCOUVER, WA 98686-4904
(360) 574-8307
(360) 253-9589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6167
WA
Other
Enumeration date
06/16/2005
Last updated
03/16/2015
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