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1023410529
HENRY CHARLES JENSEN
FAIRBANKS, AK
NPI
1023410529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MT 11581)
Additional Taxonomies
122300000X Dentist
(Licence: AK 1583)
Enumeration Date
2014-09-16
Last Update Date
2016-09-20
Business Address
Dr. HENRY CHARLES JENSEN
570 RIVERSTONE WAY SUITE 1
FAIRBANKS, AK 99709-2940
Phone number: 907-455-4350
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Mailing Address
Dr. HENRY CHARLES JENSEN
1547 S HIGGINS AVE SUITE D
MISSOULA, MT 59801-4226
Phone number: 406-542-2742
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