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Individual

DR. ARLISS L BREND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
810 E ROSSER AVE, SUITE 405, BISMARCK, ND 58501-4463
(701) 222-4111
(701) 222-3495
Mailing address
207 E FRONT AVE, SUITE C, BISMARCK, ND 58504-5596
(701) 222-4111
(701) 222-3495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1615
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40007
ND
01
793983
UNITED CONCORDIA
01
ND1615
BLUE CROSS BLUE SHIELD OF ND
ND
Enumeration date
05/11/2006
Last updated
10/11/2011
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