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Individual

DR. LISA NICOLE GINGREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D. D. S.

Contact information

Practice address
301 NP AVENUE, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
301 NP AVENUE, FARGO, ND 58102-4835
(701) 271-3344

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2286
ND

Other

Enumeration date
07/08/2016
Last updated
07/08/2016
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