Organization
MISSOURI RIVER DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALWORTH ANDERSON D.D.S (PRESIDENT)
(612) 619-0917
Entity
Organization
Contact information
Practice address
1401 SKYLINE BLVD, SUITE 210, BISMARCK, ND 58503-1299
(701) 751-7177
(701) 751-7178
Mailing address
1401 SKYLINE BLVD, SUITE 210, BISMARCK, ND 58503-1299
(701) 751-7177
(701) 751-7178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2214
ND
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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