DR. Jason Michael Bjerketvedt, D.D.S.

NPI #1861691271 in Sauk Centre, Minnesota

Provider Information

NPI Number: 1861691271
Entity Type: Individual
Name: DR. Jason Michael Bjerketvedt, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 16, 2007
Last Updated: Jan 31, 2014

Practice Location

Address: 334 MAIN ST S
City: Sauk Centre
State: Minnesota
ZIP Code: 56378-1349
Phone: (320) 352-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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