Individual
DR. MATTHEW JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 DELAWARE ST SE # 7-174, MINNEAPOLIS, MN 55455-0357
(612) 301-2233
Mailing address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(651) 403-1803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15128
MN
Other
Enumeration date
06/28/2024
Last updated
08/19/2024
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