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Organization
JERRY W. KAALBERG, DDS P.C.
Active
Organization
JERRY W. KAALBERG, DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY W. KAALBERG DDS (PRESIDENT)
(319) 364-7111
Entity
Organization
Contact information
Practice address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 364-7111
(319) 364-1726
Mailing address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 364-7111
(319) 364-1726
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5773
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060004
—
IA
Enumeration date
08/16/2006
Last updated
08/22/2020
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