1101 DENTAL, PLLC

NPI: 1750689030 · Organization · Active

Primary Specialty

Dentist

Practice Location

1101 S COLUMBIA RD
UNIT B
GRAND FORKS, ND 58201-4055 Map ↗
Phone: 701-795-1101
Fax: 701-795-1102

All Specialties & Licenses

  • Dentist Primary (license: 2083, ND)

NPI Registration

Enumerated: 2011-03-10

Last CMS Update: 2011-03-10