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Organization
JERGER PEDIATRIC DENTISTRY, PC
Active
Organization
JERGER PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET M JERGER DDS (OWNER)
(217) 875-3080
Entity
Organization
Contact information
Practice address
2101 N MAIN ST, DECATUR, IL 62526-4375
(217) 875-3080
(217) 875-3084
Mailing address
2101 N MAIN ST, DECATUR, IL 62526-4375
(217) 875-3080
(217) 875-3084
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021001772
IL
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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