Endodontic Professionals PA - St Anthony Endodontics
NPI #1538577341 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1538577341
- Entity Type
- Organization
- Organization Name
- Endodontic Professionals PA - St Anthony Endodontics
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ENDODONTIC PROFESSIONALS PA
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jul 24, 2014
- Last Updated
- Jul 24, 2014
Practice Location
- Address
- 3905 SILVER LAKE RD NE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55421-4352
- Phone
- (763) 559-0859
Authorized Official
- Name
- DR. MARK R JENSEN, DDS
- Title
- PRESIDENT
- Phone
- (763) 559-0859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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