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Organization
MAISEY DENTAL
Active
Organization
MAISEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MAISEY (OFFICE ADMINISTRATOR)
(701) 774-1879
Entity
Organization
Contact information
Practice address
109 5TH ST SW, BOX 486, WATFORD CITY, ND 58854-7135
(701) 842-4474
Mailing address
109 5TH ST SW, BOX 486, WATFORD CITY, ND 58854-7135
(701) 842-4474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2216
ND
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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