North Dakota State College of Science

NPI #1033422613 in Wahpeton, North Dakota

Provider Information

NPI Number
1033422613
Entity Type
Organization
Organization Name
North Dakota State College of Science
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jul 23, 2010
Last Updated
Jul 23, 2010

Practice Location

Address
ALLIED DENTAL EDUCATION DEPARTMENT
Address 2
800 N 6TH ST
ZIP Code
58076-0001
Phone
(701) 671-2333

Authorized Official

Name
KATHY BODENSTEINER
Title
CLINIC COORDINATOR
Phone
(701) 671-2333

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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