Jensen & Jensen Dds Pa | |
2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 | |
(651) 770-3014 | |
(651) 770-9199 |
Full Name | Jensen & Jensen Dds Pa |
---|---|
Speciality | Dentist - Periodontics |
Location | 2480 White Bear Ave N Ste 201, Maplewood, Minnesota |
Authorized Official Name and Position | Robert L Jensen (DOCTOR) |
Authorized Official Contact | 6517703014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jensen & Jensen Dds Pa 2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 Ph: (651) 770-3014 | Jensen & Jensen Dds Pa 2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 Ph: (651) 770-3014 |
NPI Number | 1437275039 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437275039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | D7860 (Minnesota) | Primary |
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