institution
Lidgerwood Dental Office
Dental Clinic/Center in Lidgerwood, North Dakota
NPI 1285043802

Lidgerwood Dental Office is a Dental Clinic/Center based in Lidgerwood, ND and is specialized in Dental. Lidgerwood Dental Office practices in Lidgerwood, ND. The NPI Number for Lidgerwood Dental Office is 1285043802 and holds a License No. 1488 (North Dakota).

The current practice location address for Lidgerwood Dental Office is 19 Wiley Ave S, Lidgerwood, ND and can be reached out via phone at 701-538-4583 and via fax at 701-538-4560.

Location: 19 Wiley Ave S, Lidgerwood, ND, 58053-0431
institution
Provider Profile Details
NPI Number
1285043802
Provider Name
Lidgerwood Dental Office
Credential
Provider Entity Type
Organization
Address
19 Wiley Ave S, Lidgerwood, ND, 58053-0431
Phone Number
701-538-4583
Fax Number
701-538-4560
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Wiley Ave S
City
State
Zip
58053-4001
Phone Number
701-538-4583
Fax Number
701-538-4560
person
Provider Business Mailing Address Details
Address
19 Wiley Ave S
City
State
Zip
58053-4001
Phone Number
701-538-4583
Fax Number
701-538-4560
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
1488 (North Dakota)
Definition
Definition to come...
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