| NPI | 1942579081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SARSLAND Dentist 701-523-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ND 2101) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |