MR. Jerome Raymond Nyberg, DDS

NPI #1407927353 in Elk River, Minnesota

Provider Information

NPI Number: 1407927353
Entity Type: Individual
Name: MR. Jerome Raymond Nyberg, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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