Organization
STILLWATER DENTAL, LLC
Active
Other names
Mark E. Jensen, DMD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JENSEN DMD (OWNER/DENTIST)
(541) 330-5952
Entity
Organization
Contact information
Practice address
199 SW SHEVLIN HIXON DR STE A, BEND, OR 97702-3201
(547) 330-5952
Mailing address
199 SW SHEVLIN HIXON DR STE A, BEND, OR 97702-3201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
08/14/2019
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