Individual
DR. GREGORY BRUCE KJELLBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
127 N BROADWAY ST, PO 848, NEW ULM, MN 56073-1715
(507) 233-9400
Mailing address
70 JONATHAN DR, NEW ULM, MN 56073-3343
(507) 354-4225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9918
MN
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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