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Organization

AGASSIZ DENTAL ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MELANIE J. HOYT (RECEPTIONIST/OFFICE MANAGER)
(701) 797-2641
Entity
Organization

Contact information

Practice address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425
(701) 797-2641
Mailing address
P.O. BOX 569, COOPERSTOWN, ND 58425
(701) 797-2641

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1415
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40303
ND
Enumeration date
09/29/2006
Last updated
04/23/2009
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