MARK LEE GJERDE

ELK GROVE, CA
NPI1588693170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  25711)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
DR. MARK LEE GJERDE DDS
8880 ELK GROVE BLVD
ELK GROVE, CA 95624-1832
Phone number: 916-685-2141
Mailing Address
DR. MARK LEE GJERDE DDS
11841 RINGWOOD RD
WILTON, CA 95693-9638
Phone number: 916-687-6513
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