Downtown Dental Gp

NPI #1124405030 in Jamestown, North Dakota

Provider Information

NPI Number: 1124405030
Entity Type: Organization
Organization Name: Downtown Dental Gp
Primary Specialty: Dentist
Enumeration Date: Apr 29, 2015
Last Updated: Apr 29, 2015

Practice Location

Address: 815 1ST AVE S
City: Jamestown
State: North Dakota
ZIP Code: 58401-4746
Phone: (701) 251-2240

Authorized Official

Name: DR. KENNETH DALE MCDOUGALL, DDS
Title: PRESIDENT
Phone: (701) 251-2240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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