| NPI | 1215107248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MICHAEL GOEBEL President 701-258-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ND 1767) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |