| NPI | 1053184762 |
|---|---|
| Doing Business As | HOMETOWN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL WELK Orthodontist 701-220-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 305S00000X Point of Service | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |