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Organization
DR KRIVARCHKA DDS
Active
Organization
DR KRIVARCHKA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE KRIVARCHKA (DENTIST/OWNER)
(701) 437-2676
Entity
Organization
Contact information
Practice address
213 4TH AVE, ENDERLIN, ND 58027-1306
(701) 437-2676
Mailing address
213 4TH AVE, ENDERLIN, ND 58027-1306
(701) 437-2676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40796
—
ND
Enumeration date
05/19/2014
Last updated
06/16/2014
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