Organization
DR. JACLYN M. JENSEN DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN JENSEN (OWNER)
(218) 281-1301
Entity
Organization
Contact information
Practice address
310 S BROADWAY, CROOKSTON, MN 56716-1913
(218) 281-1301
Mailing address
310 S BROADWAY, CROOKSTON, MN 56716-1913
(218) 281-1301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12281
MN
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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