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Organization
NORTHCREEK DENTAL PC
Active
Organization
NORTHCREEK DENTAL PC
Active
Other names
Lidgerwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SCHAFFER DDS (OWER/DENTISH)
(701) 242-7140
Entity
Organization
Contact information
Practice address
19 WILEY AVE, LIDGEWOOD, ND 58053
(701) 538-4583
(701) 538-4560
Mailing address
17060 HWY 46, HORACE, ND 58047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ND
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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