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Individual

DR. CALEB WILLIAM JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6875 HICKORY RD, WOODSTOCK, GA 30188-2327
(678) 740-1764
Mailing address
436 TRIBUTARY LN, HOLLY SPRINGS, GA 30115-2334

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123805
GA

Other

Enumeration date
05/31/2025
Last updated
06/24/2025
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