| NPI | 1134868862 |
|---|---|
| Doing Business As | D CHARLES JENSEN DDS |
| Entity Type | Organization |
| Authorized Contact | SHELLIE J LOOKS Administration 616-443-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |