Individual
DR. JACOB JOHN DALE HELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 PARK AVE, PINE RIVER, MN 56474
(218) 587-4437
(218) 587-4479
Mailing address
17751 96TH AVE N, MAPLE GROVE, MN 55311-1272
(320) 828-0302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14375
MN
Other
Enumeration date
06/23/2020
Last updated
08/05/2024
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