Nd Dentistry PC
NPI #1639548118 in Fargo, North Dakota
Provider Information
- NPI Number
- 1639548118
- Entity Type
- Organization
- Organization Name
- Nd Dentistry PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 15, 2015
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 1650 45TH STREET SOUTH
- Address 2
- SUITE 108
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58104
- Phone
- (315) 454-6000
Authorized Official
- Name
- JEROME B AUSTRIACO, DDS
- Title
- OWNER
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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