Organization
MINNEHAHA FALL FAMILY DENTAL
Active
Other names
Jakubas Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA LYNN SWENSON DDS (OWNER)
(320) 761-2259
Entity
Organization
Contact information
Practice address
4554 MINNEHAHA AVE, MINNEAPOLIS, MN 55406
(612) 721-3012
Mailing address
4554 MINNEHAHA AVE, MINNEAPOLIS, MN 55406
(612) 721-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10142
MN
Other
Enumeration date
01/16/2007
Last updated
12/31/2020
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