Individual
DR. KOURTNEY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 E INTERSTATE AVE, BISMARCK, ND 58503-1207
(701) 222-4746
Mailing address
1700 E INTERSTATE AVE, BISMARCK, ND 58503-1207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2431
ND
1223G0001X
General Practice Dentistry
D010435
AZ
Other
Enumeration date
08/05/2019
Last updated
07/06/2021
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