Organization
DAKOTA DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A FISHPAW (DENTIST)
(701) 852-4755
Entity
Organization
Contact information
Practice address
515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
(701) 852-4755
(701) 852-8016
Mailing address
515 20TH AVE SE, SUITE 8, MINOT, ND 58701-6661
(701) 852-4755
(701) 852-8016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41393
—
ND
Enumeration date
05/19/2007
Last updated
08/22/2020
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