Individual
DR. GARY LYNN BJERRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
916 S ROWLEY ST, MITCHELL, SD 57301-4441
(605) 996-1223
Mailing address
25266 WILD PLUM LN, MITCHELL, SD 57301-9300
(605) 996-4448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M986
SD
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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