Organization
GOOSE RIVER DENTAL ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C LAUF JR. DDS (OWNER)
(701) 788-4064
Entity
Organization
Contact information
Practice address
37 1/2 MAIN ST E, MAYVILLE, ND 58257
(701) 788-4064
(701) 788-9090
Mailing address
37 1/2 MAIN ST E, MAYVILLE, ND 58257
(701) 788-4064
(701) 788-9090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41080
—
ND
Enumeration date
09/25/2006
Last updated
08/22/2020
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