DR. Gary Robert Jernberg, D.D.S., M.S.D.

NPI #1164420675 in Mankato, Minnesota

Provider Information

NPI Number
1164420675
Entity Type
Individual
Name
DR. Gary Robert Jernberg, D.D.S., M.S.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
D.D.S., M.S.D.
Enumeration Date
Jul 8, 2005
Last Updated
Jan 28, 2011

Practice Location

Address
99 NAVAHO AVE
Address 2
SUITE 102
ZIP Code
56001-4876
Phone
(507) 345-7537

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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