# L.O BREND DDS PC

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

## Provider details

- **NPI number:** 1912119504
- **Authorized official:** DR. LEE O BREND DDS (OWNER)
- **Authorized official phone:** (701) 255-2467

## Contact information

- **Practice address:** 1143 W TURNPIKE AVE, BISMARCK, ND 58501-8115
- **Practice address phone:** (701) 255-2467
- **Mailing address:** 1143 W TURNPIKE AVE, BISMARCK, ND 58501-8115
- **Mailing address phone:** (701) 255-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1418 | ND | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1418 | NORTH DAKOTA DENTAL | ND |