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Douglas Jensen, DDS
NPI 1124096425 · on the registry since 2006
Practice
- Address
- 5540 S Pulaski Rd
Chicago, IL 60629 - Phone
- (773) 735-4434
- Fax
- (773) 735-4993
- Organisation at this address
- A Kavaliunas Md Sc
Pulaski Smiling Dental P.C.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois