Individual
DR. JEROME DERMOTT DULAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6550 YORK AVE SO, SUITE 202, EDINA, MN 55435-2333
(952) 925-2176
(952) 925-2382
Mailing address
6550 YORK AVE SO, SUITE 202, EDINA, MN 55435-2333
(952) 925-2176
(952) 925-2382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6205
MN
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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