Lidgerwood Dental Office
NPI #1285043802 in Lidgerwood, North Dakota
Provider Information
- NPI Number
- 1285043802
- Entity Type
- Organization
- Organization Name
- Lidgerwood Dental Office
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 7, 2014
- Last Updated
- Aug 7, 2014
Practice Location
- Address
- 19 WILEY AVE S
- City
- Lidgerwood
- State
- North Dakota
- ZIP Code
- 58053-4001
- Phone
- (701) 538-4583
Authorized Official
- Name
- DR. JAMES D MAROTZKE, DDS
- Title
- OWNER
- Phone
- (701) 538-4583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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