Organization
CUSTOM ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE W OSMOND DDS, MSD (DOCTOR/OWNER)
(701) 255-2523
Entity
Organization
Contact information
Practice address
521 E MAIN AVE, SUITE 100, BISMARCK, ND 58501-4418
(701) 255-2523
(701) 525-5765
Mailing address
521 E MAIN AVE, SUITE 100, BISMARCK, ND 58501-4418
(701) 255-2523
(701) 525-5765
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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