J Mark Jensen, D.M.D.

NPI #1386733459 in Mccall, Idaho

Provider Information

NPI Number: 1386733459
Entity Type: Individual
Name: J Mark Jensen, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 327 DEINHARD LN
City: Mccall
State: Idaho
ZIP Code: 83638-4703
Phone: (208) 634-3370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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