OrganizationActive
A Children'S Dentist
NPI 1679728711 · Pediatric Dentistry · Battle Ground, WA
Provider details
- NPI number
- 1679728711
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- Conway Jensen, Owner
- License
- DE00010670 (WA)
Practice location
1215 Sw Scotton Way Ste 130
Battle Ground, WA 98604-2700
Phone: (360) 666-0530
Fax: (360) 666-9144
Mailing address
1215 Sw Scotton Way Ste 130
Battle Ground, WA 98604-2700
Registry dates
- Enumerated
- 2008-11-17
- Last updated
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.