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Organization

LIDGERWOOD DENTAL OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D MAROTZKE DDS (OWNER)
(701) 538-4583
Entity
Organization

Contact information

Practice address
19 WILEY AVE S, LIDGERWOOD, ND 58053-4001
(701) 538-4583
(701) 538-4560
Mailing address
19 WILEY AVE S, LIDGERWOOD, ND 58053-0431
(701) 538-4583
(701) 538-4560

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1488
ND

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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