Individual
PATRICIO RAFAEL DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
(701) 852-4755
Mailing address
515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
(701) 852-4755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2086
ND
Other
Enumeration date
12/15/2009
Last updated
09/14/2010
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