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Individual

DR. MANMOHAN S DEVSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
324 DAKOTA AVE, WAHPETON, ND 58075-4515
(701) 642-2644
Mailing address
324 DAKOTA AVE, WAHPETON, ND 58075-4515
(701) 642-2644

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ND 1821
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41127
ND
Enumeration date
05/27/2007
Last updated
07/08/2007
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