| Michael Jensen Dmd Pc | |
|
406 Se 131st Ave Ste 202 Vancouver WA 98683-4013 | |
| (360) 253-9542 | |
| (360) 253-9589 |
| Full Name | Michael Jensen Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 406 Se 131st Ave Ste 202, Vancouver, Washington |
| Authorized Official Name and Position | Michael Kenneth Jensen (PRESIDENT/OWNEER) |
| Authorized Official Contact | 3602539542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Jensen Dmd Pc 406 Se 131st Ave Ste 202 Vancouver WA 98683-4013 Ph: (360) 253-9542 | Michael Jensen Dmd Pc 406 Se 131st Ave Ste 202 Vancouver WA 98683-4013 Ph: (360) 253-9542 |
| NPI Number | 1720553993 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720553993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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