Organization
A CHILDREN'S DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONWAY JENSEN DDS (OWNER)
(360) 666-0530
Entity
Organization
Contact information
Practice address
1215 SW SCOTTON WAY STE 130, BATTLE GROUND, WA 98604-2700
(360) 666-0530
(360) 666-9144
Mailing address
1215 SW SCOTTON WAY STE 130, BATTLE GROUND, WA 98604-2700
(360) 666-0530
(360) 666-9144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010670
WA
Other
Enumeration date
11/17/2008
Last updated
02/22/2022
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