Organization · Type 2 NPI

Lidgerwood Dental Office

Dental Clinic/Center · Lidgerwood, ND

NPI number 1285043802 Active

Practice location

19 Wiley Ave S
Lidgerwood, ND 58053-4001

Call (701) 538-4583 Map

Fax (701) 538-4560

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X1488 (ND)

Dental Clinic/Center: Definition to come...

About NPI 1285043802

Lidgerwood Dental Office's National Provider Identifier is 1285043802, issued on Aug 7, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lidgerwood, ND. The record was last updated on Aug 7, 2014.