Individual
JANELLE JEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4342 4TH AVE S, MINNEAPOLIS, MN 55409-2155
(612) 822-9030
(612) 821-2818
Mailing address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2164
(612) 746-1530
(612) 746-1531
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT38
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992822290
—
MN
Enumeration date
02/10/2014
Last updated
01/15/2019
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