Individual
MRS. REGINA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3801 BEE CAVE RD, SUITE 120, AUSTIN, TX 78746
(512) 433-6633
(512) 433-6633
Mailing address
3801 BEE CAVE RD, SUITE 120, AUSTIN, TX 78746-2395
(512) 433-6633
(512) 433-6634
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20584
TX
1223P0221X
Pediatric Dentistry
55507
CA
Other
Enumeration date
06/01/2007
Last updated
09/26/2019
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