Organization
BONNIE J. ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE ANDERSON DENTIST (OWNER)
(701) 523-5651
Entity
Organization
Contact information
Practice address
20 1ST AVE SW, BOX E, BOWMAN, ND 58623-4213
(701) 523-5651
Mailing address
20 1ST AVE NW, BOX E, BOWMAN, ND 58623
(701) 523-5651
(701) 523-5652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1771
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41045
—
ND
Enumeration date
08/01/2014
Last updated
08/01/2014
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