Individual
EDWARD DOUGLAS MAISEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
708 MAIN ST, WILLISTON, ND 58801-5320
(701) 774-1879
Mailing address
708 MAIN ST, WILLISTON, ND 58801-5320
(701) 774-1879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2463
ND
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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