Organization
DOUGLAS M JENSEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M JENSEN DDS (PRESIDENT)
(303) 772-2392
Entity
Organization
Contact information
Practice address
1332 LINDEN ST, SUITE #2, LONGMONT, CO 80501-3257
(303) 772-2392
(303) 772-2438
Mailing address
1332 LINDEN ST, SUITE #2, LONGMONT, CO 80501-3257
(303) 772-2392
(303) 772-2438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
HD100959
CO
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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