Individual
DR. KAITLYN SUNDBY GLOGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
706 DEMERS AVE, EAST GRAND FORKS, MN 56721-1842
(218) 773-7474
Mailing address
4177 S COLUMBIA RD, APT 415, GRAND FORKS, ND 58201
(218) 478-4035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D46149
MN
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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