Organization
WEST & EHLIS ORTHODONTIC MANAGEMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MARTIN WEST DDS (PRESIDENT)
(701) 293-5300
Entity
Organization
Contact information
Practice address
4710 AMBER VALLEY PKWY S, SUITE B, FARGO, ND 58104-8694
(701) 293-5300
(701) 293-3317
Mailing address
4710 AMBER VALLEY PKWY S, SUITE B, FARGO, ND 58104-8694
(701) 293-5300
(701) 293-3317
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1969
ND
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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