| NPI | 1245272277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M KUTCH President & CEO 701-418-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-04-30 |