Organization
MANKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RORY BRET MANKE D.D.S. (PRESIDENT)
(701) 772-8158
Entity
Organization
Contact information
Practice address
2401 S WASHINGTON ST, SUITE B, GRAND FORKS, ND 58201-6747
(701) 772-8158
(701) 772-9108
Mailing address
2401 S WASHINGTON ST, SUITE B, GRAND FORKS, ND 58201-6747
(701) 772-8158
(701) 772-9108
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2174
ND
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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