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1750689030
1101 DENTAL, PLLC
GRAND FORKS, ND
NPI
1750689030
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Entity Type
Organization
Authorized Contact
HEATHER NICHOLE PETRICIG
Owner/Dentist
701-795-1101
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ND 2083)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
1101 DENTAL, PLLC
1101 S COLUMBIA RD UNIT B
GRAND FORKS, ND 58201-4055
Phone number: 701-795-1101
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Mailing Address
1101 DENTAL, PLLC
1101 S COLUMBIA RD UNIT B
GRAND FORKS, ND 58201-4055
Phone number: 701-795-1101
Copy
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