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Dakota Pediatric Dentistry Valid NPI

Organization · Pediatric Dentistry · Fargo, ND

NPI
1487824991
Type
Organization (Type 2)
Primary specialty
Pediatric Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0221X
License number
2000 (ND)
Enumerated
2008-03-11
Last updated
2009-04-15
Practice location
4265 45th St S Ste 202
Fargo, ND 58104-4309
(701) 478-5439

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