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Organization
SMILES BY DESIGN PC
Active
Organization
SMILES BY DESIGN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D AXVIG (OWNER)
(701) 223-5500
Entity
Organization
Contact information
Practice address
301 E FRONT AVE STE 105, BISMARCK, ND 58504-5601
(701) 223-5500
(701) 222-2218
Mailing address
301 E FRONT AVE STE 105, BISMARCK, ND 58504-5601
(701) 223-5500
(701) 222-2218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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