Dr. Jaclyn M. Jensen Dds, PC

NPI #1063661726 in Crookston, Minnesota

Provider Information

NPI Number: 1063661726
Entity Type: Organization
Organization Name: Dr. Jaclyn M. Jensen Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 17, 2008
Last Updated: Sep 17, 2008

Practice Location

Address: 310 S BROADWAY
City: Crookston
State: Minnesota
ZIP Code: 56716-1913
Phone: (218) 281-1301

Authorized Official

Name: JACLYN JENSEN
Title: OWNER
Phone: (218) 281-1301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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