| NPI | 1538203393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY D TOWNSEND HANSEN Orthodontist 701-237-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ND 1562) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |