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Individual
DR. TIMOTHY JOHN JERNBERG
Active
Individual
DR. TIMOTHY JOHN JERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008752
AZ
1223E0200X
Endodontics
D13301
MN
1223E0200X
Endodontics
Primary
DN27423
FL
Other
Enumeration date
06/18/2013
Last updated
02/07/2023
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