| NPI | 1891093985 |
|---|---|
| Doing Business As | BADLANDS DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | AMANDA ANGEL JOHNSON President 701-483-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |