| Steven M. Erlandson D.d.s. P.c. | |
|
2401 So. Washington Street Suite D Grand Forks ND 58201 | |
| (701) 772-6581 | |
| (701) 772-5536 |
| Full Name | Steven M. Erlandson D.d.s. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2401 So. Washington Street Suite D, Grand Forks, North Dakota |
| Authorized Official Name and Position | Steven Michael Erlandson (OWNER) |
| Authorized Official Contact | 7017726581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M. Erlandson D.d.s. P.c. 2401 So. Washington Street Suite D Grand Forks ND 58201 Ph: (701) 772-6581 | Steven M. Erlandson D.d.s. P.c. 2401 So. Washington Street Suite D Grand Forks ND 58201 Ph: (701) 772-6581 |
| NPI Number | 1669895744 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669895744 | NPI | - | NPPES |
| 41229 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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