NPI | 1396059721 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN A HOLLEVOET Orthodontist 701-751-1981 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2010-07-27 |
Last Update Date | 2022-09-28 |