| NPI | 1245420751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A. RITTER Dentist 701-837-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 1982) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-02-04 |