| NPI | 1790297430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN SCHMALTZ Managing Member 701-799-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ND 2162) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |