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810 E Rosser Ave Ste 404 Bismarck ND 58501-4463 | |
| (701) 222-0033 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 E Rosser Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Tania Schell (OFFICE MANAGER) |
| Authorized Official Contact | 7012220033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
810 E Rosser Ave Ste 404 Bismarck ND 58501-4463 Ph: (701) 222-0033 | 810 E Rosser Ave Ste 404 Bismarck ND 58501-4463 Ph: (701) 222-0033 |
| NPI Number | 1700075470 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700075470 | NPI | - | NPPES |
| 41197 | Medicaid | ND | |
| 971734 | Other | DSC | |
| 848790 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1734 (North Dakota) | Primary |
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