Organization
NORTHERN LIGHTS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JOHN SCHMALTZ DDS (MANAGING MEMBER)
(701) 799-4898
Entity
Organization
Contact information
Practice address
4150 19TH AVE S, SUITE 301, FARGO, ND 58104
(701) 551-2000
Mailing address
325 LIBERTY LN, HORACE, ND 58047-4522
(701) 799-4898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2162
ND
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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