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MR. JEROME RAYMOND NYBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
303 MAIN ST, ELK RIVER, MN 55330
(763) 441-9181
(763) 441-3399
Mailing address
303 MAIN ST, ELK RIVER, MN 55330
(763) 441-9181
(763) 441-3399

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7834
MN

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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