| NPI | 1073676722 |
|---|---|
| Doing Business As | SOUTHPOINTE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES BRIAN LICHTSINN President 701-280-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2019-02-26 |