Dr. Kaci B. Jensen, Pllc

NPI #1255339297 in Boise, Idaho

Provider Information

NPI Number: 1255339297
Entity Type: Organization
Organization Name: Dr. Kaci B. Jensen, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 13, 2005
Last Updated: Mar 7, 2011

Practice Location

Address: 9755 W LEO DR
City: Boise
State: Idaho
ZIP Code: 83709-8249
Phone: (208) 791-4926

Authorized Official

Name: DR. KACI B. JENSEN, DDS
Title: OWNER
Phone: (208) 791-4926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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