Organization
JOC SJT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN C JENSEN MS, DDS (OWNER)
(801) 272-9900
Entity
Organization
Contact information
Practice address
2651 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 84095-8966
(801) 254-2700
Mailing address
1377 E 3900 S STE 203, SALT LAKE CITY, UT 84124-1493
(801) 272-9900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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