Organization
PARKSIDE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL L CHENEY DMD (PRESIDENT)
(701) 852-5333
Entity
Organization
Contact information
Practice address
701 3RD ST NE, MINOT, ND 58703-2401
(701) 852-5333
Mailing address
701 3RD ST NE, MINOT, ND 58703-2401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41332
—
ND
Enumeration date
04/15/2008
Last updated
04/15/2008
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