| NPI | 1740430198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHRISTOPHER DUCHSHERER Co Owner 701-235-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: ND 2038) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-06-18 |