| Jensen & Brown, Dds | |
|
11 105th Ave Se Ste 11 Bellevue WA 98004-6281 | |
| (425) 454-7690 | |
| Not Available |
| Full Name | Jensen & Brown, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 105th Ave Se Ste 11, Bellevue, Washington |
| Authorized Official Name and Position | Kevin M Brown (DENTIST/CO OWNER) |
| Authorized Official Contact | 4254547690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jensen & Brown, Dds 11 105th Ave Se Ste 11 Bellevue WA 98004-6281 Ph: (425) 454-7690 | Jensen & Brown, Dds 11 105th Ave Se Ste 11 Bellevue WA 98004-6281 Ph: (425) 454-7690 |
| NPI Number | 1235582545 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235582545 | NPI | - | NPPES |
| 1780706580 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5581 (Washington) | Primary |
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