Individual
DR. JENS MARTIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 2ND AVE S, SUITE # 103, KENT, WA 98032-5873
(253) 852-5155
(253) 852-5159
Mailing address
221 2ND AVE S, SUITE # 103, KENT, WA 98032-5873
(253) 852-5155
(253) 852-5159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003352
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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