BRIAN CLARK JENSEN

EAGLE, ID
NPI1366617953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3878)
Enumeration Date2008-04-24
Last Update Date2008-04-24
Business Address
Dr. BRIAN CLARK JENSEN D.M.D.
1177 N EAGLE RD
EAGLE, ID 83616-5017
Phone number: 208-939-3010
Mailing Address
Dr. BRIAN CLARK JENSEN D.M.D.
1177 N EAGLE RD
EAGLE, ID 83616-5017
Phone number: 208-939-3010
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