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1295845790
PAUL THOMAS BOTHUN
GRAND FORKS, ND
NPI
1295845790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ND 1791)
Enumeration Date
2006-08-30
Last Update Date
2021-05-08
Business Address
DR. PAUL THOMAS BOTHUN DDS
DAKOTA DENTAL ASSOCIATES PC 4000 17TH AVE S
GRAND FORKS, ND 58201-3905
Phone number: 701-775-0641
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Mailing Address
DR. PAUL THOMAS BOTHUN DDS
DAKOTA DENTAL ASSOCIATES PC 4000 17TH AVE S
GRAND FORKS, ND 58201-3905
Phone number: 701-775-0641
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