Organization
DR. COLLEEN JENSON, LLC
Active
Parent organization
DR. COLLEEN JENSON, LLC/DBA GRACE DENTAL
Other names
Grace Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. COLLEEN JENSON, LLC/DBA GRACE DENTAL
Authorized official
DR. COLLEEN JENSON DMD (OWNER)
(719) 532-1007
Entity
Organization
Contact information
Practice address
1155 KELLY JOHNSON BLVD STE 210, COLORADO SPRINGS, CO 80920-3958
(719) 532-1007
Mailing address
825 CASPIAN CT E, MONUMENT, CO 80132-2844
(719) 650-7470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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