Individual
JENNICCA ANN LEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1371 7TH ST W, SAINT PAUL, MN 55102-4297
(651) 359-9889
Mailing address
18785 160TH AVE NW, THIEF RIVER FALLS, MN 56701-8834
(218) 688-2059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15297
MN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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