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1639806326
JORDAN PELLEGROM
SARTELL, MN
NPI
1639806326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MN D14853)
Enumeration Date
2022-08-03
Last Update Date
2023-09-05
Business Address
Dr. JORDAN PELLEGROM D.D.S.
140 TWIN RIVERS CT
SARTELL, MN 56377-2015
Phone number: 320-257-3380
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Mailing Address
Dr. JORDAN PELLEGROM D.D.S.
11757 E 25TH AVE UNIT 7208
AURORA, CO 80010-1297
Phone number: 320-223-4237
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