| NPI | 1295975738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY JO SCHEPP Business Office Manager 701-293-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND ND1837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ND ND1916) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |