NPI | 1437861556 |
---|---|
Doing Business As | DYLEN'S CROSSING |
Entity Type | Organization |
Authorized Contact | JENNIFER J GONSER Owner 701-690-4184 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Enumeration Date | 2022-12-20 |
Last Update Date | 2022-12-20 |