Individual
DR. EVAN E ENTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
669 12TH ST W, DICKINSON, ND 58601-3554
(701) 483-4746
(701) 483-2273
Mailing address
669 12TH ST W, DICKINSON, ND 58601-3554
(701) 483-4746
(701) 483-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2416
ND
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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