Souris Valley Dental Group
NPI #1861497430 in Minot, North Dakota
Provider Information
- NPI Number
- 1861497430
- Entity Type
- Organization
- Organization Name
- Souris Valley Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 20, 2005
- Last Updated
- Jun 12, 2015
Practice Location
- Address
- 1300 37TH AVE SW
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-7240
- Phone
- (701) 852-5595
Authorized Official
- Name
- DR. MARK A HILDAHL, DDS
- Title
- OWNER
- Phone
- (701) 852-5595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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