Individual
FREDERICK ARNOLD LANDGREBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 EAST MAIN STREET, MANDAN, ND 58554-3762
(701) 667-1933
(701) 667-2115
Mailing address
1008 EAST MAIN STREET, MANDAN, ND 58554-3762
(701) 667-1933
(701) 667-2115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1593
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40654
—
ND
Enumeration date
01/25/2007
Last updated
07/08/2007
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