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1145 W Turnpike Ave Bismarck ND 58501-8115 | |
| (701) 751-1981 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1145 W Turnpike Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Emily S Olson (OFFICE MANGER) |
| Authorized Official Contact | 7017511981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1145 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 255-1311 | 1145 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 751-1981 |
| NPI Number | 1194430751 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194430751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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