Individual
DR. ISAIAH JERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1436 LOCUST ST, TERRE HAUTE, IN 47807-1648
(812) 878-2316
Mailing address
1436 LOCUST ST, TERRE HAUTE, IN 47807-1648
(812) 878-2316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012105A
IN
Other
Enumeration date
05/19/2014
Last updated
04/20/2017
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