Individual
JENNIFER IACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DT
Contact information
Practice address
13899 HIGHWAY 13 SOUTH FRONTAGE ROAD, SAVAGE, MN 55378
(952) 440-2292
(952) 440-2935
Mailing address
7720 PENN AVE S APT C314, RICHFIELD, MN 55423-3669
(586) 216-5954
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT108
MN
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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