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Individual
DR. GRANT STEVEN KORSMO
Active
Individual
DR. GRANT STEVEN KORSMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28751
BCBS OF ND
ND
05
—
41429
—
ND
05
—
640087000
—
MN
01
—
9200472
DENTAQUEST
—
01
—
949382
DENTAL SERVICE CORPORATION OF NORTH DAKOTA
ND
Enumeration date
06/05/2007
Last updated
09/24/2019
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