STEWART WAYNE JENSEN

LOGAN, UT
NPI1104086677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  141758-9922)
Enumeration Date2008-06-09
Last Update Date2008-06-09
Business Address
-- STEWART WAYNE JENSEN D.D.S.
167 E 200 N STE 1
LOGAN, UT 84321-4049
Phone number: 435-752-5451
Mailing Address
-- STEWART WAYNE JENSEN D.D.S.
167 E 200 N STE 1
LOGAN, UT 84321-4049
Phone number: 435-752-5451
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