# PATRICK LANDSIEDEL DDS PC

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

## Provider details

- **NPI number:** 1902042609
- **Authorized official:** PATRICK LANDSIEDEL DDS (OWNER)
- **Authorized official phone:** (701) 852-3222

## Contact information

- **Practice address:** 1000 31ST AVE SW, MINOT, ND 58701-7403
- **Practice address phone:** (701) 852-3222
- **Mailing address:** 1000 31ST AVE SW, MINOT, ND 58701-7403
- **Mailing address phone:** (701) 852-3222

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 12/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41062 | — | ND |