Individual
JAYNE CERNOHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7993
(763) 785-8960
Mailing address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7993
(763) 785-8960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067824400
—
MN
Enumeration date
01/03/2006
Last updated
02/27/2012
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