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Jerome Raymond Nyberg, DDS

Dentist in Elk River, MN. Individual provider (NPI-1).

NPI number1407927353
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407927353
Entity type
Individual (NPI-1)
Name
Mr. Jerome Raymond Nyberg
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist7834MNYes

Practice location

303 Main St
Elk River, MN 55330

Phone 763-441-9181 · Fax 763-441-3399

Mailing address

303 Main St
Elk River, MN 55330

Phone 763-441-9181 · Fax 763-441-3399

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All 16 Dentist providers in Elk River · All 706 providers in Elk River

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