Organization
MICHAEL JENSEN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KENNETH JENSEN DMD (PRESIDENT/OWNEER)
(360) 253-9542
Entity
Organization
Contact information
Practice address
406 SE 131ST AVE STE 202, VANCOUVER, WA 98683-4013
(360) 253-9542
(360) 253-9589
Mailing address
406 SE 131ST AVE STE 202, VANCOUVER, WA 98683-4013
(360) 253-9542
(360) 253-9589
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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