Organization
PEDER B MORSE DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECCI ANN SWANSTROM (BUSINESS ADMINISTRATOR)
(218) 727-2349
Entity
Organization
Contact information
Practice address
306 W SUPERIOR ST, SUITE 601, DULUTH, MN 55802-1803
(218) 727-2349
Mailing address
306 W SUPERIOR ST, SUITE 601, DULUTH, MN 55802-1803
(218) 727-2349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245309921
NPI
MN
01
—
1548339237
NPI
MN
Enumeration date
05/05/2008
Last updated
05/05/2008
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