Individual
DR. MARVIN FLETCHER JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,D.D.S.
Contact information
Practice address
930 W FOOTHILL BLVD STE C, UPLAND, CA 91786-3756
(909) 931-9571
(909) 931-9473
Mailing address
930 W FOOTHILL BLVD STE C, UPLAND, CA 91786-3756
(909) 931-9571
(909) 931-9473
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24308
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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