# CORNERSTONE DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639336316
- **Authorized official:** DR. BYRUM WILLIAM CARTWRIGHT D.D.S (DENTIST)
- **Authorized official phone:** (701) 237-3583

## Contact information

- **Practice address:** 1815 UNIVERSITY DR S, SUITE \#3, FARGO, ND 58103-4900
- **Practice address phone:** (701) 237-3583
- **Practice address fax:** (701) 237-4159
- **Mailing address:** 1815 UNIVERSITY DR S, SUITE \#3, FARGO, ND 58103-4900
- **Mailing address phone:** (701) 237-3583
- **Mailing address fax:** (701) 237-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008