| NPI | 1588766166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANDREW ANDERSON Owner 701-252-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1559) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |