Organization
JENSEN & JENSEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L JENSEN DDS (DOCTOR)
(651) 770-3014
Entity
Organization
Contact information
Practice address
2480 WHITE BEAR AVE N STE 201, MAPLEWOOD, MN 55109-4567
(651) 770-3014
(651) 770-9199
Mailing address
2480 WHITE BEAR AVE N STE 201, MAPLEWOOD, MN 55109-4567
(651) 770-3014
(651) 770-9199
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7860
MN
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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