Dr. Daniel Lawrence Mengedoth, DDS
Dentist, General Practice in Fargo, ND. Individual provider (NPI-1).
NPI number1033540539
StatusActive
Last updated in NPPESDec 9, 2013
Details
- NPI
- 1033540539
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Lawrence Mengedoth
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2013
- Last updated
- Dec 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2087 | ND | Yes |
Practice location
2585 23rd Ave SSuite C
Fargo, ND 58103-6172
Phone 701-356-1280 · Fax 701-356-1281
Mailing address
2585 23rd AveSuite C
Fargo, ND 58103
Phone 701-356-1280 · Fax 701-356-1281
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