Jensen & Brown, Dds | |
11 105th Ave Se Ste 11 Bellevue WA 98004-6281 | |
(425) 454-7690 | |
Not Available |
Full Name | Jensen & Brown, Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 11 105th Ave Se Ste 11, Bellevue, Washington |
Authorized Official Name and Position | Kevin M Brown (DENTIST/CO OWNER) |
Authorized Official Contact | 4254547690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jensen & Brown, Dds 11 105th Ave Se Ste 11 Bellevue WA 98004-6281 Ph: (425) 454-7690 | Jensen & Brown, Dds 11 105th Ave Se Ste 11 Bellevue WA 98004-6281 Ph: (425) 454-7690 |
NPI Number | 1235582545 |
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Provider Enumeration Date | 07/21/2016 |
Last Update Date | 07/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235582545 | NPI | - | NPPES |
1780706580 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5581 (Washington) | Primary |
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