Most Relevant Information
Provider Data
| NPI Number: | 1003306390 |
| Provider Name: | CORY JENSON DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2018014354 |
Most Important Dates
| Enumeration Date: | 05/13/2018 |
| Last Updated: | 05/13/2018 |
Provider Practice Location
5106 NE ANTIOCH RD
KANSAS CITY
MO
641192502
Practice Location Phone/Fax
| Phone: | 8162988585 |
| Fax: |
Provider Mailing Location
5106 NE ANTIOCH RD
KANSAS CITY
MO
641192502
Provider Mailing Phone/Fax
| Phone: | 8162988585 |
| Fax: |