Individual
MATTHEW T JENSEN
Active
Individual
MATTHEW T JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
057466-1
NY
1223G0001X
General Practice Dentistry
22DI02574900
NJ
1223G0001X
General Practice Dentistry
D009393
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D009393
AZ
Other
Enumeration date
02/12/2013
Last updated
03/11/2024
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