| NPI | 1457693137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H. SINNER Chairman 701-252-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND ND1690) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |