| NPI | 1013007566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL JOHN TRZPUC President 701-794-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ND 1660) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |