Individual
DR. ROBERT L JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2480 WHITE BEAR AVE N STE 201, SAINT PAUL, MN 55109-4567
(651) 770-3014
(651) 770-9199
Mailing address
2480 WHITE BEAR AVE N STE 201, SAINT PAUL, MN 55109-4567
(651) 770-3014
(651) 770-9199
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7860
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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