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Individual

DR. BRIAN R JESPERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558
(701) 224-1093
Mailing address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558
(701) 224-1093

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1634
ND

Other

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