Organization
DAKOTA DENTAL CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAITLIN C JACQUOT D.D.S. (PRESIDENT/DENTIST)
(701) 523-5651
Entity
Organization
Contact information
Practice address
20 1ST AVE SW, BOWMAN, ND 58623-4213
(701) 523-5651
Mailing address
PO BOX E, BOWMAN, ND 58623-0119
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2291
ND
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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