| NPI | 1093190829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN MARIE SMITH Owner/Dentist 701-232-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: ND 2247) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-11-16 |