Organization
MC DENTAL CORPORATION, PC
Active
Other names
Maisey Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK CASPERSON D.M.D. (OWNER-PRESIDENT/DOCTOR)
(701) 774-1879
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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