Individual
JENNY MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4243 4TH AVE S, MINNEAPOLIS, MN 55409-2113
(612) 822-9030
Mailing address
9778 180TH ST E, HASTINGS, MN 55033-9532
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT79
MN
Other
Enumeration date
02/10/2017
Last updated
03/17/2018
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