NPI | 1760621387 |
---|---|
Doing Business As | JESPERSON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRIAN R JESPERSON Orthodontist 701-224-1558 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ND 1634) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2009-02-05 |