JOSEPH RICHARD DEATHERAGE

BISMARCK, ND
NPI1003859117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: ND  2069)
Enumeration Date2006-06-14
Last Update Date2019-05-01
Business Address
JOSEPH RICHARD DEATHERAGE DMD, MD
1730 BURNT BOAT DR STE 300
BISMARCK, ND 58503-0886
Phone number: 701-258-7220
Mailing Address
JOSEPH RICHARD DEATHERAGE DMD, MD
1730 BURNT BOAT DR STE 300
BISMARCK, ND 58503-0886
Phone number: 701-258-7220
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