| NPI | 1184716045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE J. HOYT Receptionist/Office Manager 701-797-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ND 1415) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-04-23 |