Individual
BRIGITTE LACELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF DENTAL MED
Contact information
Practice address
1307 15TH ST W, WILLISTON, ND 58801-3826
(701) 774-0404
Mailing address
1307 15TH ST W, WILLISTON, ND 58801-3826
(701) 774-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2566
ND
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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