| 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 |