| NPI | 1528466935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK A OUKROP Dentist 701-751-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: ND 2006) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2018-12-05 |