| NPI | 1366774994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DALE MCDOUGALL President 701-251-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 1668) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-23 |