Individual
DR. DAVID A HERFENDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 839-6805
Mailing address
600 22ND AVE NW, MINOT, ND 58703-0986
(701) 839-6805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1649
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649
DSC INS PROV #
ND
05
—
40763
—
ND
01
—
823780
UNITED CONCORDIA INS PRO#
ND
Enumeration date
07/25/2006
Last updated
07/08/2007
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