| NPI | 1891090668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK A LANDGREBE Owner/Dentist 701-667-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1593) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |