Individual
DR. COREY CLARK JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3475 PLYMOUTH BLVD, SUITE #100, PLYMOUTH, MN 55447-1499
(763) 537-1238
(763) 537-4627
Mailing address
3475 PLYMOUTH BLVD, SUITE #100, PLYMOUTH, MN 55447-1499
(763) 537-1238
(763) 537-4627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9970
MN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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