Organization
MARK JENSEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JENSEN DDS (OWNER)
(602) 978-3643
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE, SUITE 128, GLENDALE, AZ 85308
(602) 978-3643
Mailing address
18275 N 59TH AVE, SUITE 128, GLENDALE, AZ 85308
(602) 978-3643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2376
AZ
Other
Enumeration date
05/12/2006
Last updated
06/12/2012
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