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Organization

DR KENNETH MCDOUGALL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH DALE MCDOUGALL DDS (PRESIDENT)
(701) 251-2240
Entity
Organization

Contact information

Practice address
815 1ST AVE S, JAMESTOWN, ND 58401-4746
(701) 251-2240
(701) 952-9487
Mailing address
815 1ST AVE S, JAMESTOWN, ND 58401-4746
(701) 251-2240
(701) 952-9487

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1668
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41522
ND
Enumeration date
02/08/2010
Last updated
02/23/2010
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