Individual
DR. JEREMIAH KIM DANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2650 32ND AVE SOUTH, GRAND FORKS, ND 58201
(701) 775-0684
(701) 775-3282
Mailing address
2650 32ND AVE SOUTH, GRAND FORKS, ND 58201
(701) 775-0684
(701) 775-3282
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2043
ND
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D12490
MN
Other
Enumeration date
04/01/2008
Last updated
04/06/2010
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