Organization
CENTRAL VALLEY DENTISTRY AND ORAL HEALTH
Active
Parent organization
CENTRAL VALLEY DENTISTRY AND ORAL HEALTH
Other names
Monson Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VALLEY DENTISTRY AND ORAL HEALTH
Authorized official
DR. ANDREA L MONSON DMD (CEO)
(701) 852-3939
Entity
Organization
Contact information
Practice address
3725 CROSSING STREET SW, MINOT, ND 58701-3859
(701) 852-3939
Mailing address
3725 CROSSING STREET SW, MINOT, ND 58701-3859
(701) 852-3939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2139
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40076
—
ND
01
—
949702
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
ND
Enumeration date
01/18/2013
Last updated
08/13/2015
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