Individual
GRANT NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1300 37TH AVE SW # A, MINOT, ND 58701-7240
(701) 852-5595
Mailing address
1300 37TH AVE SW # A, MINOT, ND 58701-7240
(701) 852-5595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2512
ND
Other
Enumeration date
04/25/2023
Last updated
07/02/2024
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