Individual
JENNIFER JANE JUDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
119 NE FIRST STREET, STE 4, LITTLE FALLS, MN 56345
(320) 632-6621
(320) 632-1829
Mailing address
119 NE FIRST STREET, STE 4, LITTLE FALLS, MN 56345
(320) 632-6621
(320) 632-1829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265
HEALTH PARTNERS
—
01
—
812989
UNITED OF CONCORDIA
—
01
—
85320FA
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/08/2006
Last updated
07/08/2007
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