DR. Jordan Pellegrom, D.D.S.

NPI #1639806326 in Sartell, Minnesota

Provider Information

NPI Number
1639806326
Entity Type
Individual
Name
DR. Jordan Pellegrom, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Aug 3, 2022
Last Updated
Sep 5, 2023

Practice Location

Address
140 TWIN RIVERS CT
ZIP Code
56377-2015
Phone
(320) 257-3380

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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