| NPI | 1851582100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET SCHAEFER Business Manager 701-839-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ND 1918) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-01-25 |