DR. GARY JERNBERG, D.D.S., M.S.D.
Dentist - Periodontics
Active
Individual
NPI: 1164420675
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 8671 (MN) |
Frequently Asked Questions
NPI 1164420675 is the National Provider Identifier for DR. GARY JERNBERG, D.D.S., M.S.D., a Dentist - Periodontics provider located in Mankato, MN. This NPI was enumerated on July 8, 2005.
DR. GARY JERNBERG, D.D.S., M.S.D. practices at 99 NAVAHO AVE, SUITE 102, Mankato, MN 56001.
Quick Facts
- NPI
- 1164420675
- Type
- Individual
- Enumerated
- Jul 8, 2005
- Last Updated
- Jan 28, 2011
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