Individual
BAILEE JO JERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDT, RDH
Contact information
Practice address
3622 MOBERG DR NW, BEMIDJI, MN 56601-5644
(507) 529-0436
Mailing address
PO BOX 1005, BEMIDJI, MN 56619-1005
(507) 529-0436
(218) 444-6057
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H10578
MN
125J00000X
Dental Therapist
Primary
DT116
MN
Other
Enumeration date
01/16/2019
Last updated
06/10/2019
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