North Dakota State College Of Science

NPI 1033422613 - Dentist - 1223D0001X

NPI Details
NPI 1033422613
Enumeration Date 07/23/2010
Last Updated 07/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KATHY KATHY
Position CLINIC COORDINATOR
Phone (701) 671-2333
Fax (701) 671-2517
Practice Location
ALLIED DENTAL EDUCATION DEPARTMENT
800 N 6TH ST
WAHPETON ND, 58076-0001, US
Phone (701) 671-2333
Fax (701) 671-2517
Business Location
ALLIED DENTAL EDUCATION DEPARTMENT
800 N 6TH ST
WAHPETON ND, 58076-0001, US
Phone (701) 671-2333
Fax (701) 671-2517
Toxanomy
Taxonomy Code 1223D0001X
License State North Dakota
License Number 1754
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According to our database, North Dakota State College Of Science NPI is 1033422613, taxonomy code is 1223D0001X and license number is 1754, license state is located at North Dakota. North Dakota State College Of Science physically located at Allied Dental Education Department, Wahpeton ND, 58076-0001. NPI Number 1033115704 has the healthcare provider type.

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1033422613 NPI number is provided on an as is basis without warranty of any kind. 1033422613 is maintained by the National Plan & Provider Enumeration System. The contents of North Dakota State College Of Science are for informational purposes only.