Individual
PAIGE BEVEN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H., M.S.
Contact information
Practice address
543 WHISPERING ST SW, ALBUQUERQUE, NM 87121-7745
(505) 239-6167
Mailing address
543 WHISPERING ST SW, ALBUQUERQUE, NM 87121-7745
(505) 239-6167
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 2931
NM
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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