Individual
MR. DANA ANDREW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7103
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7103
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9234
CO
Other
Enumeration date
09/27/2006
Last updated
08/10/2023
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