JERRY KENT BRUNSOMAN

MAPLEWOOD, MN
NPI1356342505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MN  D6950)
Enumeration Date2005-08-09
Last Update Date2007-07-08
Business Address
Dr. JERRY KENT BRUNSOMAN D.D.S., M.S.
1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109-2662
Phone number: 651-774-9611
Mailing Address
Dr. JERRY KENT BRUNSOMAN D.D.S., M.S.
1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109-2662
Phone number: 651-774-9611