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1588693170
MARK LEE GJERDE
ELK GROVE, CA
NPI
1588693170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 25711)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Dr. MARK LEE GJERDE dds
8880 ELK GROVE BLVD
ELK GROVE, CA 95624-1832
Phone number: 916-685-2141
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Mailing Address
Dr. MARK LEE GJERDE dds
11841 RINGWOOD RD
WILTON, CA 95693-9638
Phone number: 916-687-6513
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