DR. Corey Clark Jensen

NPI #1538236823 in Plymouth, Minnesota

Provider Information

NPI Number
1538236823
Entity Type
Individual
Name
DR. Corey Clark Jensen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Nov 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3475 PLYMOUTH BLVD
Address 2
SUITE #100
ZIP Code
55447-1499
Phone
(763) 537-1238

Specialties & Taxonomy Codes

Specialty
Dentist

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