Organization
DOWNTOWN DENTAL GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DALE MCDOUGALL DDS (PRESIDENT)
(701) 251-2240
Entity
Organization
Contact information
Practice address
815 1ST AVE S, JAMESTOWN, ND 58401-4746
(701) 251-2240
Mailing address
815 1ST AVE S, JAMESTOWN, ND 58401-4746
(701) 251-2240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1668
ND
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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