| NPI | 1437285012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LOUIS GROSS President 701-223-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1742) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |