Ideal Image Dentistry & Spa
NPI #1891090668 in Mandan, North Dakota
Provider Information
- NPI Number
- 1891090668
- Entity Type
- Organization
- Organization Name
- Ideal Image Dentistry & Spa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2011
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- 1008 E MAIN ST
- City
- Mandan
- State
- North Dakota
- ZIP Code
- 58554-3762
- Phone
- (701) 667-1933
Authorized Official
- Name
- DR. FREDRICK A LANDGREBE, DDS
- Title
- OWNER/DENTIST
- Phone
- (701) 667-1933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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