Individual
JERRY W. KAALBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 364-7111
Mailing address
2727 1ST AVE SE, CEDAR RAPIDS, IA 52402-4844
(319) 364-7111
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5773
IA
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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