Mark Jensen Dds | |
18275 N 59th Ave Suite 128 Glendale AZ 85308 | |
(602) 978-3643 | |
Not Available |
Full Name | Mark Jensen Dds |
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Speciality | Dentist |
Location | 18275 N 59th Ave, Glendale, Arizona |
Authorized Official Name and Position | Mark Jensen (OWNER) |
Authorized Official Contact | 6029783643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark Jensen Dds 18275 N 59th Ave Suite 128 Glendale AZ 85308 Ph: (602) 978-3643 | Mark Jensen Dds 18275 N 59th Ave Suite 128 Glendale AZ 85308 Ph: (602) 978-3643 |
NPI Number | 1831140045 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 06/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831140045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2376 (Arizona) | Primary |
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