Organization
KORSMO FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT STEVEN KORSMO DDS (DENTIST/OWNER)
(701) 775-0682
Entity
Organization
Contact information
Practice address
2401 S WASHINGTON ST, SUITE C, GRAND FORKS, ND 58201-6747
(701) 775-0682
Mailing address
2401 S WASHINGTON ST, SUITE C, GRAND FORKS, ND 58201-6747
(701) 775-0682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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