Organization
MY DENTAL NORTH DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LUND (OPERATIONS LEADER)
(701) 866-1894
Entity
Organization
Contact information
Practice address
309 SHEYENNE ST, WEST FARGO, ND 58078-1732
(701) 282-5035
Mailing address
4201 38TH ST S STE 100, FARGO, ND 58104-7535
(701) 760-0105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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