Nathan J. Jensen, Dmd, Pllc

NPI #1467112037 in Bayport, Minnesota

Provider Information

NPI Number: 1467112037
Entity Type: Organization
Organization Name: Nathan J. Jensen, Dmd, Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 23, 2021
Last Updated: Dec 23, 2021

Practice Location

Address: 277 3RD ST N
City: Bayport
State: Minnesota
ZIP Code: 55003-1028
Phone: (651) 439-2352

Authorized Official

Name: DR. NATHAN JOHN JENSEN, DMD
Title: OWNER
Phone: (651) 439-2352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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