BLAKE RISTVEDT

GRAND FORKS, ND
NPI1598147787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ND  2254)
Enumeration Date2015-06-24
Last Update Date2015-06-24
Business Address
-- BLAKE RISTVEDT D.D.S.
117 N WASHINGTON ST
GRAND FORKS, ND 58203-3450
Phone number: 701-746-1481
Mailing Address
-- BLAKE RISTVEDT D.D.S.
117 N WASHINGTON ST
GRAND FORKS, ND 58203-3450
Phone number: 701-746-1481