Individual
PHILIP BRUCE SALLBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 CENTER ST W, ROSEAU, MN 56751-1419
(218) 463-1070
(218) 463-1170
Mailing address
308 CENTER ST W, ROSEAU, MN 56751-1419
(218) 463-1070
(218) 463-1170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8357
MN
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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