Individual
DR. SCOTT LANE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15303 HUEBNER RD, BLDG. 17, SAN ANTONIO, TX 78248-0959
(210) 696-2563
Mailing address
15303 HUEBNER RD, BLDG. 17, SAN ANTONIO, TX 78248-0959
(210) 696-2563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31052
TX
1223G0001X
General Practice Dentistry
D7540
AZ
1223P0221X
Pediatric Dentistry
Primary
31052
TX
Other
Enumeration date
01/16/2010
Last updated
09/05/2017
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