| NPI | 1073677191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEON RICKS President 701-852-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 901533) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |