Blake Ristvedt Dental Pllc
NPI #1225505761 in Fargo, North Dakota
Provider Information
- NPI Number
- 1225505761
- Entity Type
- Organization
- Organization Name
- Blake Ristvedt Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2018
- Last Updated
- Nov 1, 2018
Practice Location
- Address
- 520 MAIN AVE STE 705
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-1967
- Phone
- (701) 237-4341
Authorized Official
- Name
- BLAKE E RISTVEDT, DDS
- Title
- OWNER
- Phone
- (701) 866-3676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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