NPI | 1396151569 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD L CALLENDER Dentist, Personal Corporation 701-282-5930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ND 1509) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2014-07-08 |