Individual
DR. NATHAN MICHAEL DEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1003 GATEWAY AVE, BISMARCK, ND 58503-0508
(701) 222-1800
Mailing address
2004 GRIMSRUD DR, BISMARCK, ND 58501-1316
(701) 371-9954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2013
ND
Other
Enumeration date
05/15/2007
Last updated
07/21/2007
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