Southdale Periodontics
NPI #1326044538 in Edina, Minnesota
Provider Information
- NPI Number
- 1326044538
- Entity Type
- Organization
- Organization Name
- Southdale Periodontics
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. JAMES R JENSEN, DDS MS
- Title
- OWNER
- Phone
- (952) 922-6949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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