Organization
L.O BREND DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE O BREND DDS (OWNER)
(701) 255-2467
Entity
Organization
Contact information
Practice address
1143 W TURNPIKE AVE, BISMARCK, ND 58501-8115
(701) 255-2467
Mailing address
1143 W TURNPIKE AVE, BISMARCK, ND 58501-8115
(701) 255-2467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1418
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418
NORTH DAKOTA DENTAL
ND
Enumeration date
05/04/2007
Last updated
08/22/2020
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