| Badlands Dental Pc | |
|
389 15th St W Dickinson ND 58601-3017 | |
| (701) 483-1385 | |
| (701) 483-1388 |
| Full Name | Badlands Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 389 15th St W, Dickinson, North Dakota |
| Authorized Official Name and Position | Amanda Angel Johnson (PRESIDENT) |
| Authorized Official Contact | 7014831385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Badlands Dental Pc 389 15th St W Dickinson ND 58601-3017 Ph: (701) 483-1385 | Badlands Dental Pc 389 15th St W Dickinson ND 58601-3017 Ph: (701) 483-1385 |
| NPI Number | 1891093985 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891093985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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