Manke Family Dentistry | |
2401 S Washington St Suite B Grand Forks ND 58201-6747 | |
(701) 772-8158 | |
(701) 772-9108 |
Full Name | Manke Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 2401 S Washington St, Grand Forks, North Dakota |
Authorized Official Name and Position | Rory Bret Manke (PRESIDENT) |
Authorized Official Contact | 7017728158 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Manke Family Dentistry 2401 S Washington St Suite B Grand Forks ND 58201-6747 Ph: (701) 772-8158 | Manke Family Dentistry 2401 S Washington St Suite B Grand Forks ND 58201-6747 Ph: (701) 772-8158 |
NPI Number | 1265872865 |
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Provider Enumeration Date | 06/27/2013 |
Last Update Date | 06/27/2013 |
Identifier | Type | State | Issuer |
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1265872865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2174 (North Dakota) | Primary |
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