Individual
DR. AMANDA LOUISE BONN VESTERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 775-0641
(701) 746-9328
Mailing address
2810 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 775-0641
(701) 746-9328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2037
ND
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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