Organization
HEARTLAND DENTAL
Active
Other names
Evergreen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY DEAN FINES DDS (OWNER/DENTIST)
(701) 237-6307
Entity
Organization
Contact information
Practice address
1213 19TH AVE N, FARGO, ND 58102-2242
(701) 237-6307
Mailing address
1213 19TH AVE N, FARGO, ND 58102-2242
(701) 237-6307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1949
ND
Other
Enumeration date
07/18/2006
Last updated
07/21/2022
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