Northcreek Dental Pc

NPI 1467524496 - Dentist - 1223E0200X

NPI Details
NPI 1467524496
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK A MARK
Position OWNER DENTIST
Phone (701) 232-2409
Fax (701) 232-2563
Practice Location
100 S 4TH ST
STE 312
FARGO ND, 58103, US
Phone (701) 232-2409
Fax (701) 232-2563
Business Location
100 S 4TH ST
STE 312
FARGO ND, 58103, US
Phone (701) 232-2409
Fax (701) 232-2563
Toxanomy
Taxonomy Code 1223E0200X
License State North Dakota
License Number 1893
Remove 1467524496 NPI Number
 

According to our database, Northcreek Dental Pc NPI is 1467524496, taxonomy code is 1223E0200X and license number is 1893, license state is located at North Dakota. Northcreek Dental Pc physically located at 100 S 4th St, Fargo ND, 58103. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1467524496 NPI number is provided on an as is basis without warranty of any kind. 1467524496 is maintained by the National Plan & Provider Enumeration System. The contents of Northcreek Dental Pc are for informational purposes only.