Organization
BRIDGING THE DENTAL GAP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA A OLSON (EXECUTIVE DIRECTOR)
(701) 221-0518
Entity
Organization
Contact information
Practice address
1223 S 12TH ST, STE 1, BISMARCK, ND 58504
(701) 221-0518
(701) 221-0537
Mailing address
1223 S 12TH ST, STE 1 BRIDGING THE DENTAL GAP INC, BISMARCK, ND 58504
(701) 221-0518
(701) 221-0537
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41340
—
ND
Enumeration date
12/05/2006
Last updated
08/22/2020
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