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Organization

MJW ORTHODONTICS

Active
Other names
Hometown Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL WELK DDS, MS (ORTHODONTIST)
(701) 220-3578
Entity
Organization

Contact information

Practice address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558
Mailing address
531 S 7TH ST, BISMARCK, ND 58504-5859
(701) 224-1558

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
261QD0000X
Dental Clinic/Center
Primary
305S00000X
Point of Service

Other

Enumeration date
11/03/2023
Last updated
11/03/2023
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