Individual
DR. JON DARREL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
812 5TH AVE N, SUITE 4, SEATTLE, WA 98109-6123
(206) 284-0566
(206) 284-0573
Mailing address
812 5TH AVE N, SUITE 4, SEATTLE, WA 98109-6123
(206) 284-0566
(206) 284-0573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
40360
CA
1223G0001X
General Practice Dentistry
Primary
7553
WA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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