Individual
DR. ALAN CHARLES JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1377 EAST 3900 SOUTH, SUITE 203, SALT LAKE CITY, UT 84124
(801) 272-9900
(801) 272-7704
Mailing address
1377 EAST 3900 SOUTH, SUITE 203, SALT LAKE CITY, UT 84124
(801) 272-9900
(801) 272-7704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
144101-9921
UT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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