Organization
MCDONALD-GALSTAD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE MARIE GUNDERSON (OFFICE MANAGER)
(218) 773-3010
Entity
Organization
Contact information
Practice address
1421 CENTRAL AVE NW, E GRAND FORKS, MN 56721-1617
(218) 773-3010
(218) 773-9780
Mailing address
1421 CENTRAL AVE NW, E GRAND FORKS, MN 56721-1617
(218) 773-3010
(218) 773-9780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040679
—
ND
Enumeration date
02/07/2008
Last updated
02/07/2008
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