| NPI | 1649816828 |
|---|---|
| Doing Business As | NORTH DAKOTA ORAL SURGERY & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH GLOSENGER President 701-500-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-12-21 |