| NPI | 1194132977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN VIBETO Orthodontist 701-839-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ND 1979) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |