| NPI | 1447661186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN KENT SHIRLEY Doctor Of Dental Surgery 701-235-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ND 1596) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |