DR. Brian Clark Jensen, D.M.D.

NPI #1366617953 in Eagle, Idaho

Provider Information

NPI Number: 1366617953
Entity Type: Individual
Name: DR. Brian Clark Jensen, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 1177 N EAGLE RD
City: Eagle
State: Idaho
ZIP Code: 83616-5017
Phone: (208) 939-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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