NPI: 1063661726 · CROOKSTON, MN 56716 · General Practice Dentistry · NPI assigned 09/17/2008
| Authorized Official | JENSEN, JACLYN (OWNER) |
| NPI Enumeration Date | 09/17/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $0.00 |
| 2019 | 255 | $6K |
| 2020 | 219 | $5K |
| 2021 | 311 | $8K |
| 2022 | 172 | $7K |