# CORWIN FAMILY DENTISTRY, PC

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

## Provider details

- **NPI number:** 1932515947
- **Authorized official:** DAVID CORWIN (PRESIDENT)
- **Authorized official phone:** (701) 282-5930

## Contact information

- **Practice address:** 120 1ST ST, WEST FARGO, ND 58078-1835
- **Practice address phone:** (701) 282-5930
- **Mailing address:** 120 1ST ST, WEST FARGO, ND 58078-1835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2219 | ND | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 07/10/2014