Candid North Dakota, Pllc
NPI #1023625126 in Fargo, North Dakota
Provider Information
- NPI Number
- 1023625126
- Entity Type
- Organization
- Organization Name
- Candid North Dakota, Pllc
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Sep 23, 2020
- Last Updated
- Sep 23, 2020
Practice Location
- Address
- 122 BROADWAY N
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58102-4926
- Phone
- (860) 481-7631
Authorized Official
- Name
- THOMAS SHANNON
- Title
- DDS
- Phone
- (860) 481-7631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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