Individual
DR. SUSAN L. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 6TH ST N, WAHPETON, ND 58076-0002
(701) 671-2333
(701) 671-2570
Mailing address
800 6TH ST N, WAHPETON, ND 58076-0002
(701) 671-2333
(701) 671-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1754
ND
1223G0001X
General Practice Dentistry
9396
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41194
—
ND
Enumeration date
04/11/2007
Last updated
07/08/2007
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