Individual
DR. JAMES THEODORE PODREBARAC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3100 RAILWAY AV, BISMARCK, ND 58501
(701) 328-6118
(701) 328-6391
Mailing address
1258 EAGLE CREST LOOP, BISMARCK, ND 58503-8849
(701) 258-1144
(701) 328-6391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1973
ND
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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