| NPI | 1124122692 |
|---|---|
| Doing Business As | TRENTON COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WALT MORAN Chairman 701-774-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |