| NPI | 1104092980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GREER President 701-838-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1769) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |