| NPI | 1326515776 |
|---|---|
| Doing Business As | MAISEY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BROCK CASPERSON Owner President/Doctor 701-774-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |