NPI | 1447658950 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI NICHOLS-JOHNSON Owner 701-751-7510 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 1963) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |