NPI 1013346568

Mark Jensen, DDS

Practitioner Dentist Glendale, AZ

Practice location

Address: 19369 N 59th Ave, Glendale, AZ 85308-6500
Phone: (623) 806-7162
Fax: (623) 806-7010

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2376 (AZ)

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Registry record

NPI: 1013346568
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2013
Record last updated: 5 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.