| Kaibab Pc | |
|
714 S 2nd St Bismarck ND 58504-5718 | |
| (701) 258-3308 | |
| (701) 751-0349 |
| Full Name | Kaibab Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 714 S 2nd St, Bismarck, North Dakota |
| Authorized Official Name and Position | Brielle Renz (OWNER) |
| Authorized Official Contact | 7012583308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaibab Pc 714 S 2nd St Bismarck ND 58504-5718 Ph: (701) 258-3308 | Kaibab Pc 714 S 2nd St Bismarck ND 58504-5718 Ph: (701) 258-3308 |
| NPI Number | 1578313201 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578313201 | NPI | - | NPPES |
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