Organization
HARVEY DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CHRISTENSEN (DENTIST/OWNER)
(701) 324-4180
Entity
Organization
Contact information
Practice address
118 9TH ST W, HARVEY, ND 58341-1505
(701) 324-4180
(701) 324-4702
Mailing address
118 9TH ST W, HARVEY, ND 58341-1505
(701) 324-4180
(701) 324-4702
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372
NORTH DAKOTA LICENSE NUMBER
ND
05
—
2372
—
ND
Enumeration date
04/02/2019
Last updated
04/02/2019
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