Individual
KENNETH DEAN BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3210 18TH ST S STE B, FARGO, ND 58104-6789
(701) 237-4297
Mailing address
3210 18TH ST S STE B, FARGO, ND 58104-6789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2382
ND
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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