# KORSMO FAMILY DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366849549
- **Authorized official:** DR. GRANT STEVEN KORSMO DDS (DENTIST/OWNER)
- **Authorized official phone:** (701) 775-0682

## Contact information

- **Practice address:** 2401 S WASHINGTON ST, SUITE C, GRAND FORKS, ND 58201-6747
- **Practice address phone:** (701) 775-0682
- **Mailing address:** 2401 S WASHINGTON ST, SUITE C, GRAND FORKS, ND 58201-6747
- **Mailing address phone:** (701) 775-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014