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Dr. Kaci B. Jensen, Pllc
Dental Clinic/Center in Boise, Idaho
NPI 1255339297

Dr. Kaci B. Jensen, Pllc is a Dental Clinic/Center based in Boise, ID and is specialized in Dental. Dr. Kaci B. Jensen, Pllc practices in Boise, ID. The NPI Number for Dr. Kaci B. Jensen, Pllc is 1255339297 and holds a License No. D-4034 (Idaho).

The current practice location address for Dr. Kaci B. Jensen, Pllc is 9755 W Leo Dr, Boise, ID and can be reached out via phone at 208-791-4926.

Location: 9755 W Leo Dr, Boise, ID, 83709-8249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255339297
Provider Name
Dr. Kaci B. Jensen, Pllc
Credential
Provider Entity Type
Organization
Address
9755 W Leo Dr, Boise, ID, 83709-8249
Phone Number
208-791-4926
Fax Number
Provider Enumeration Date
07/13/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807602800 05 ID
institution
Provider Business Practice Location Address Details
Address
9755 W Leo Dr
City
Boise
State
Idaho
Zip
83709-8249
Phone Number
208-791-4926
Fax Number
person
Provider Business Mailing Address Details
Address
9755 W Leo Dr
City
Boise
State
Idaho
Zip
83709-8249
Phone Number
208-791-4926
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2000159748 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D-4034 (Idaho)
Definition
Definition to come...
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