Organization
RICHARD L. CALLENDER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L CALLENDER DDS (DENTIST, PERSONAL CORPORATION)
(701) 282-5930
Entity
Organization
Contact information
Practice address
120 1ST ST, WEST FARGO, ND 58078-1835
(701) 282-5930
(701) 282-0017
Mailing address
120 1ST ST, WEST FARGO, ND 58078-1835
(701) 282-5930
(701) 282-0017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1509
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040519
—
ND
Enumeration date
07/08/2014
Last updated
07/08/2014
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