NPI | 1134229099 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG E ROTHFUSZ Owner Dentist 701-636-4244 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ND 1750) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2023-03-07 |