Organization
EAST GRAND FORKS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M THORFINNSON D.D.S. (PRESIDENT)
(218) 773-0842
Entity
Organization
Contact information
Practice address
22 4TH ST. NE, EAST GRAND FORKS, MN 56721
(218) 773-0842
Mailing address
22 4TH ST. NE, EAST GRAND FORKS, MN 56721
(218) 773-0842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10253
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
989049
DENTAL SERVICE CORP
ND
Enumeration date
04/19/2007
Last updated
08/22/2020
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