Individual
BRADY MATHEW ZITTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 3RD AVE NW, MANDAN, ND 58554-3130
(701) 663-7545
Mailing address
907 21ST ST SE, MANDAN, ND 58554-5057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2474
ND
Other
Enumeration date
03/16/2022
Last updated
06/20/2022
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