L.o Brend Dds Pc | |
1143 W Turnpike Ave Bismarck ND 58501-8115 | |
(701) 255-2467 | |
Not Available |
Full Name | L.o Brend Dds Pc |
---|---|
Speciality | Dentist |
Location | 1143 W Turnpike Ave, Bismarck, North Dakota |
Authorized Official Name and Position | Lee O Brend (OWNER) |
Authorized Official Contact | 7012552467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
L.o Brend Dds Pc 1143 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 255-2467 | L.o Brend Dds Pc 1143 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 255-2467 |
NPI Number | 1912119504 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912119504 | NPI | - | NPPES |
1418 | Other | ND | NORTH DAKOTA DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1418 (North Dakota) | Primary |
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