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Organization

DRAYTON EYE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS DUNHAM OD (OPTOMETRIST)
(701) 454-3340
Entity
Organization

Contact information

Practice address
104 E HIGHWAY 66 STE 102, DRAYTON, ND 58225-4804
(701) 454-3340
Mailing address
104 E HIGHWAY 66 STE 102, DRAYTON, ND 58225-4804

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
421
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00568
ND
05
60300
ND
01
870421 G2
VSI
ND
Enumeration date
03/28/2012
Last updated
03/28/2012
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