| Richard L. Callender, Dds, Pc | |
|
120 1st St West Fargo ND 58078-1835 | |
| (701) 282-5930 | |
| (701) 282-0017 |
| Full Name | Richard L. Callender, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 1st St, West Fargo, North Dakota |
| Authorized Official Name and Position | Richard L Callender (DENTIST, PERSONAL CORPORATION) |
| Authorized Official Contact | 7012825930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L. Callender, Dds, Pc 120 1st St West Fargo ND 58078-1835 Ph: (701) 282-5930 | Richard L. Callender, Dds, Pc 120 1st St West Fargo ND 58078-1835 Ph: (701) 282-5930 |
| NPI Number | 1396151569 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396151569 | NPI | - | NPPES |
| 00040519 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1509 (North Dakota) | Primary |
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