Ideal Image Dentistry & Spa | |
1008 E Main St Mandan ND 58554-3762 | |
(701) 667-1933 | |
Not Available |
Full Name | Ideal Image Dentistry & Spa |
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Speciality | Dentist - General Practice |
Location | 1008 E Main St, Mandan, North Dakota |
Authorized Official Name and Position | Fredrick A Landgrebe (OWNER/DENTIST) |
Authorized Official Contact | 7016671933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: (701) 667-1933 | Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: (701) 667-1933 |
NPI Number | 1891090668 |
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Provider Enumeration Date | 01/25/2011 |
Last Update Date | 01/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891090668 | NPI | - | NPPES |
41545 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1593 (North Dakota) | Primary |
Prairie Rose Family Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ln Nw, Mandan, ND 58554 Phone: 701-751-3237 | |
Ideal Image Dentistry & Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E Main St, Mandan, ND 58554 Phone: 701-667-1933 Fax: 701-667-2115 | |
Dr Michael Maier Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 3rd Ave Nw, Mandan, ND 58554 Phone: 701-663-7545 Fax: 701-663-6174 |