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Organization
NORTH DAKOTA STATE COLLEGE OF SCIENCE
Active
Organization
NORTH DAKOTA STATE COLLEGE OF SCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BODENSTEINER (CLINIC COORDINATOR)
(701) 671-2333
Entity
Organization
Contact information
Practice address
ALLIED DENTAL EDUCATION DEPARTMENT, 800 N 6TH ST, WAHPETON, ND 58076-0001
(701) 671-2333
(701) 671-2517
Mailing address
ALLIED DENTAL EDUCATION DEPARTMENT, 800 N 6TH ST, WAHPETON, ND 58076-0001
(701) 671-2333
(701) 671-2517
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1754
ND
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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