Individual
DR. COULTON DANGERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 27TH ST S STE C, FARGO, ND 58103-8722
(701) 232-6983
Mailing address
1354 6TH ST NW, WEST FARGO, ND 58078-3804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2467
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
07/13/2022
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