| NPI | 1487824991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD JAMES HOGE Vice President 701-478-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ND 2000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ND 1998) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2009-04-15 |