PARK RIVER DENTAL, PC

PARK RIVER, ND
NPI1174666119
Doing Business AsPARK RIVER DENTAL
Entity TypeOrganization
Authorized ContactBRIAN JAMES LARSON
Owner/Dentist President
701-284-6131
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ND  1805)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: ND  1355)
Enumeration Date2007-02-15
Last Update Date2014-06-03
Business Address
PARK RIVER DENTAL, PC
418 BRIGGS AVENUE
PARK RIVER, ND 58270-0662
Phone number: 701-284-6131
Mailing Address
PARK RIVER DENTAL, PC
PO BOX 662
PARK RIVER, ND 58270-0662
Phone number: 701-284-6131