| NPI | 1013681584 |
|---|---|
| Doing Business As | JAMESTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRECK ANDREW LEACH Owner 701-252-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-06-24 |