| NPI | 1780076653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON FALLGATTER President 701-252-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ND 1915) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2020-12-08 |