Individual
DR. MARILYN B JESPERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10430 S DE ANZA BLVD STE 290, CUPERTINO, CA 95014-3025
(408) 446-5789
(408) 446-1447
Mailing address
10430 S DE ANZA BLVD STE 290, CUPERTINO, CA 95014-3025
(408) 446-5789
(408) 446-1447
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29806
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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