| NPI | 1861569451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUC V TRAN Owner Dentist 701-775-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND ND1857) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-06-11 |