DR. Daniel Lawrence Mengedoth, DDS
NPI #1033540539 in Fargo, North Dakota
Provider Information
- NPI Number
- 1033540539
- Entity Type
- Individual
- Name
- DR. Daniel Lawrence Mengedoth, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Dec 9, 2013
Practice Location
- Address
- 2585 23RD AVE S
- Address 2
- SUITE C
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6172
- Phone
- (701) 356-1280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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