| Goose River Dental Assoc., Pc | |
|
37 1/2 Main St E Mayville ND 58257 | |
| (701) 788-4064 | |
| (701) 788-9090 |
| Full Name | Goose River Dental Assoc., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 37 1/2 Main St E, Mayville, North Dakota |
| Authorized Official Name and Position | Robert C Lauf (OWNER) |
| Authorized Official Contact | 7017884064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goose River Dental Assoc., Pc 37 1/2 Main St E Mayville ND 58257 Ph: (701) 788-4064 | Goose River Dental Assoc., Pc 37 1/2 Main St E Mayville ND 58257 Ph: (701) 788-4064 |
| NPI Number | 1164522306 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164522306 | NPI | - | NPPES |
| 41080 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Orofacial Myology Consulting Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 151st Ave Ne, Mayville, ND 58257 Phone: 701-430-7605 |