Elk River Family Dentistry

NPI #1245303254 in Elk River, Minnesota

Provider Information

NPI Number: 1245303254
Entity Type: Organization
Organization Name: Elk River Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Nov 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 303 MAIN STREET
City: Elk River
State: Minnesota
ZIP Code: 55330
Phone: (763) 441-9181

Authorized Official

Name: JEROME RAYMOND NYBERG, DDS
Title: OWNER
Phone: (763) 441-9181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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