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Individual

ROBERT M SIMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2401 SOUTH WASHINGTON ST, STE A, GRAND FORKS, ND 58201
(701) 772-3487
(701) 772-4917
Mailing address
2401 SOUTH WASHINGTON ST, STE A, GRAND FORKS, ND 58201
(701) 772-3487
(701) 772-4917

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1717
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41277
ND
Enumeration date
08/05/2006
Last updated
07/08/2007
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