| NPI | 1194264937 |
|---|---|
| Doing Business As | THREE RIVERS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES CHRISTOPHER DUCHSHERER Owner 701-235-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: ND 2038) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |