Organization
DAKOTA PEDIATRIC DENTISTRY PC
Active
Other names
Dental Care 4 Kidz
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD JAMES HOGE DDS (VICE PRESIDENT)
(701) 200-5771
Entity
Organization
Contact information
Practice address
2812 17TH AVE S, SUITE F, GRAND FORKS, ND 58201-4048
(701) 746-1400
Mailing address
2812 17TH AVE S, SUITE F, GRAND FORKS, ND 58201-4048
(701) 746-1400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2000
ND
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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