Most Relevant Information
Provider Data
| NPI Number: | 1003230137 |
| Provider Name: | JANELLE JEHN |
| Entity Type: | Individual |
| Taxonomy Code: | 125J00000X |
| Specialty: | Dental Therapist |
| License Number: | DT38 |
Most Important Dates
| Enumeration Date: | 02/10/2014 |
| Last Updated: | 01/15/2019 |
Provider Practice Location
4342 4TH AVE S
MINNEAPOLIS
MN
554092155
Practice Location Phone/Fax
| Phone: | 6128229030 |
| Fax: | 6128212818 |
Provider Mailing Location
636 BROADWAY ST NE
MINNEAPOLIS
MN
554132164
Provider Mailing Phone/Fax
| Phone: | 6127461530 |
| Fax: | 6127461531 |