| NPI | 1609250620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MARTIN WEST President 701-293-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ND 1969) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |