Individual
STEVEN BRADLEY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1323 2ND AVE N, GRAND FORKS, ND 58203-3427
(701) 775-4289
Mailing address
1323 2ND AVE N, GRAND FORKS, ND 58203-3427
(701) 775-4289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1614
ND
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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