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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

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