| Dr Krivarchka Dds | |
|
213 4th Ave Enderlin ND 58027-1306 | |
| (701) 437-2676 | |
| Not Available |
| Full Name | Dr Krivarchka Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 213 4th Ave, Enderlin, North Dakota |
| Authorized Official Name and Position | Duane Krivarchka (DENTIST/OWNER) |
| Authorized Official Contact | 7014372676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krivarchka Dds 213 4th Ave Enderlin ND 58027-1306 Ph: (701) 437-2676 | Dr Krivarchka Dds 213 4th Ave Enderlin ND 58027-1306 Ph: (701) 437-2676 |
| NPI Number | 1982015483 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982015483 | NPI | - | NPPES |
| 40796 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (North Dakota) | Primary |
Dr. Ryan Dahl, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 4th Ave, Enderlin, ND 58027 Phone: 701-437-2676 |