Individual
JENNA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5851 DULUTH ST STE 100, GOLDEN VALLEY, MN 55422-3955
(763) 546-1301
Mailing address
809 LEVANGER LN, STOUGHTON, WI 53589-4614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H11187
MN
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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