| NPI | 1588044721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J STICKA Owner/Dentist 701-483-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 2135) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |