Bridging the Dental Gap INC
NPI #1649338377 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1649338377
- Entity Type
- Organization
- Organization Name
- Bridging the Dental Gap INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1223 S 12TH ST
- Address 2
- STE 1
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58504
- Phone
- (701) 221-0518
Authorized Official
- Name
- MARCIA A OLSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (701) 221-0518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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