Individual
DR. PATRICK BENJAMIN LANDSIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 31ST AVE SW, MINOT, ND 58701
(701) 852-3222
(701) 852-2767
Mailing address
1000 31ST AVE SW, MINOT, ND 58701
(701) 852-3222
(701) 852-2767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1785
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41062
—
ND
Enumeration date
08/31/2006
Last updated
07/08/2007
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