Individual
JOHN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 852-0632
(701) 852-0468
Mailing address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 852-0632
(701) 852-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2103
ND
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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