Organization
CONCEPT DENTISTRY PC
Active
Other names
MyDental 13th Ave
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LUND (OPERATIONS LEADER)
(701) 532-2500
Entity
Organization
Contact information
Practice address
1411 32ND ST S STE 1, FARGO, ND 58103-6304
(701) 235-8978
Mailing address
4201 38TH ST S STE 106, FARGO, ND 58104-7535
(701) 532-2500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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