Individual
JOANNA BREKHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
306 4TH ST N, FARGO, ND 58102-4820
(701) 271-6378
(701) 271-3346
Mailing address
PO BOX 2625, FARGO, ND 58108-2625
(701) 271-6378
(701) 271-3346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12564
MN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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