| NPI | 1912484189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M WEISZ Chief Financial Officer 701-328-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |