| NPI | 1205824166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. NELSON President 701-222-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1749) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |