Individual
DR. ANDREA LEIGH MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3725 CROSSING ST SW, MINOT, ND 58701
(701) 852-3939
(701) 852-0126
Mailing address
3725 CROSSING STREET SW, MINOT, ND 58701-3859
(701) 852-3939
(701) 852-0126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2139
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40077
—
ND
01
—
949702
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
—
Enumeration date
08/28/2012
Last updated
08/13/2015
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