Organization
DAKOTA KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET SCHAEFER (BUSINESS MANAGER)
(701) 839-4440
Entity
Organization
Contact information
Practice address
2615 ELK DR STE 1, MINOT, ND 58701-1200
(701) 839-4440
(701) 839-1911
Mailing address
2615 ELK DR STE 1, MINOT, ND 58701-1200
(701) 839-4440
(701) 839-1911
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1918
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41292
—
ND
Enumeration date
08/01/2007
Last updated
01/25/2011
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