Mark Jensen DDS

NPI #1831140045 in Glendale, Arizona

Provider Information

NPI Number
1831140045
Entity Type
Organization
Organization Name
Mark Jensen DDS
Primary Specialty
Dentist
Enumeration Date
May 12, 2006
Last Updated
Jun 12, 2012

Practice Location

Address
18275 N 59TH AVE
Address 2
SUITE 128
State
Arizona
ZIP Code
85308
Phone
(602) 978-3643

Authorized Official

Name
MARK JENSEN, DDS
Title
OWNER
Phone
(602) 978-3643

Specialties & Taxonomy Codes

Specialty
Dentist

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