NPI | 1124484464 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN BREND Partner 701-255-2467 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 2137) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ND 1418) |
1223P0700X Dentist, Prosthodontics (Licence: ND 2140) | |
Enumeration Date | 2015-12-31 |
Last Update Date | 2016-01-19 |