Missouri River Dental, PC

NPI #1992117501 in Bismarck, North Dakota

Provider Information

NPI Number
1992117501
Entity Type
Organization
Organization Name
Missouri River Dental, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 30, 2014
Last Updated
May 30, 2014

Practice Location

Address
1401 SKYLINE BLVD
Address 2
SUITE 210
ZIP Code
58503-1299
Phone
(701) 751-7177

Authorized Official

Name
DR. TIMOTHY ALWORTH ANDERSON, D.D.S
Title
PRESIDENT
Phone
(612) 619-0917

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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