Pediatric Dentistry Ltd Valid NPI
Organization · Pediatric Dentistry · Fargo, ND
- NPI
- 1619084084
- Type
- Organization (Type 2)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 1406 (ND)
- Enumerated
- 2006-08-23
- Last updated
- 2020-08-22
Practice location
1205 16th Ave South
Fargo, ND 58103
(701) 293-6999