Individual
DR. MATTHEW O. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15331 W BELL RD STE 112, SURPRISE, AZ 85374-4103
(602) 730-6481
(602) 730-6482
Mailing address
15331 W BELL RD, SUITE #112, SURPRISE, AZ 85374
(602) 730-6481
(602) 730-6482
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5347421-9923
UT
Other
Enumeration date
09/21/2006
Last updated
04/16/2020
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