Organization
LISBON DENTISTRY PC
Active
Other names
LISBON SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE LOURENS (OFFICE MANAGER)
(701) 683-7695
Entity
Organization
Contact information
Practice address
420 MAIN ST, LISBON, ND 58054-4142
(701) 683-7695
(701) 683-7698
Mailing address
PO BOX 1078, LISBON, ND 58054-1078
(701) 683-7695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1948
ND
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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