Individual
DR. DAVID R VOGELSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3003 32ND AVE S, SUITE 3, FARGO, ND 58103-6163
(701) 318-3614
Mailing address
3537 RIVER DR S, FARGO, ND 58104-6217
(701) 318-3614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1581
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41244
—
ND
01
—
949661
BC/BS NORTH DAKOTA DENTAL
ND
Enumeration date
05/23/2007
Last updated
05/17/2014
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