| Maple Family Dental P.c. | |
|
594 Main St N Horace ND 58047-4640 | |
| (701) 552-6001 | |
| Not Available |
| Full Name | Maple Family Dental P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 594 Main St N, Horace, North Dakota |
| Authorized Official Name and Position | Jonathan Bultema (PRESIDENT) |
| Authorized Official Contact | 7015526001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Family Dental P.c. 594 Main St N Horace ND 58047-4640 Ph: (701) 552-6001 | Maple Family Dental P.c. 594 Main St N Horace ND 58047-4640 Ph: (701) 552-6001 |
| NPI Number | 1487105276 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487105276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2046 (North Dakota) | Primary |