David P. Rostad, Ltd.
Dentist, General Practice in Moorhead, MN. Organization (NPI-2).
NPI number1003028895
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003028895
- Entity type
- Organization (NPI-2)
- Legal business name
- David P. Rostad, Ltd.
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8867 | MN | Yes |
Practice location
211 S 5th StMoorhead, MN 56560
Phone 218-233-1754 · Fax 218-291-1640
Mailing address
211 S 5th StMoorhead, MN 56560
Phone 218-233-1754 · Fax 218-291-1640
Authorized official
David P Rostad
President
2182331754
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