Individual
COLLEEN S JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1155 KELLY JOHNSON BLVD STE 210, COLORADO SPRINGS, CO 80920-3958
(719) 532-1007
(719) 532-0488
Mailing address
825 CASPIAN CT E STE A, MONUMENT, CO 80132-2844
(719) 471-8318
(719) 532-0488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8739
CO
1223G0001X
General Practice Dentistry
Primary
8739
CO
Other
Enumeration date
08/19/2006
Last updated
08/05/2019
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