Individual
JENNA LYNN SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4554 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-5540
(612) 721-3012
Mailing address
4554 MINNEHAHA AVE, MINNEAPOLIS, MN 55406
(612) 721-3012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13260
MN
Other
Enumeration date
06/25/2013
Last updated
12/31/2020
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