Organization
NORTH DAKOTA STATE COLLEGE OF SCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BODENSTEINER (CLINIC COORDINATOR)
(701) 671-2333
Entity
Organization
Contact information
Practice address
ALLIED DENTAL EDUCATION DEPARTMENT, 800 N 6TH ST, WAHPETON, ND 58076-0001
(701) 671-2333
(701) 671-2517
Mailing address
ALLIED DENTAL EDUCATION DEPARTMENT, 800 N 6TH ST, WAHPETON, ND 58076-0001
(701) 671-2333
(701) 671-2517
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1754
ND
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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