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1487882718
PEDIATRIC DENTISTRY LTD
FARGO, ND
NPI
1487882718
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Entity Type
Organization
Authorized Contact
TRAVIS L. OLSON
President
701-293-6999
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ND 2032)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
PEDIATRIC DENTISTRY LTD
1205 16TH AVE. SOUTH
FARGO, ND 58103
Phone number: 701-293-6999
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Mailing Address
PEDIATRIC DENTISTRY LTD
1205 16TH AVE. SOUTH
FARGO, ND 58103
Phone number: 701-293-6999
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