Jennifer Gladys Johnson Perrault, DDS

NPI #1902286842 in Morris, Minnesota

Provider Information

NPI Number: 1902286842
Entity Type: Individual
Name: Jennifer Gladys Johnson Perrault, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 5, 2015
Last Updated: Oct 9, 2015

Practice Location

Address: 201 E 6TH ST
City: Morris
State: Minnesota
ZIP Code: 56267-1212
Phone: (320) 589-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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