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Organization
PINEHURST FAMILY DENTISTRY
Active
Organization
PINEHURST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS NEER (MANAGER)
(701) 223-1476
Entity
Organization
Contact information
Practice address
1001 W INTERSTATE AVE, STE 132, BISMARCK, ND 58503-0946
(701) 223-1476
(701) 223-4503
Mailing address
1001 W INTERSTATE AVE, STE 132, BISMARCK, ND 58503-0946
(701) 223-1476
(701) 223-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1816
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457770
—
ND
Enumeration date
07/26/2016
Last updated
07/26/2016
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