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Steven Bradley Swanson, DDS

Dentist, General Practice in Grand Forks, ND. Individual provider (NPI-1).

NPI number1932273091
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1932273091
Entity type
Individual (NPI-1)
Name
Steven Bradley Swanson
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1614NDYes

Practice location

1323 2nd Ave N
Grand Forks, ND 58203-3427

Phone 701-775-4289

Mailing address

1323 2nd Ave N
Grand Forks, ND 58203-3427

Phone 701-775-4289

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