| NPI | 1043712888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN MICHAEL VETTER Dentist 701-240-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: ND 2327) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |