Beulah Dental PC
NPI #1023483914 in Beulah, North Dakota
Provider Information
- NPI Number
- 1023483914
- Entity Type
- Organization
- Organization Name
- Beulah Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 3, 2015
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 200 W MAIN ST
- City
- Beulah
- State
- North Dakota
- ZIP Code
- 58523-6970
- Phone
- (701) 873-2259
Authorized Official
- Name
- KEVIN B LEE, DDS
- Title
- PRESIDENT
- Phone
- (701) 873-2259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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