Jenna Susanne Gauger, ADT Valid NPI
Individual provider · Dental Therapist · Glencoe, MN
- NPI
- 1124405857
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- DT55 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-05-01
- Last updated
- 2022-02-23
Practice location
2100 11th St E
Glencoe, MN 55336-2625
(320) 864-3129