Eaton Dental, PLLC
Clinic/Center, Dental in Fargo, ND. Organization (NPI-2).
NPI number1093190829
StatusActive
Last updated in NPPESNov 16, 2015
Details
- NPI
- 1093190829
- Entity type
- Organization (NPI-2)
- Legal business name
- Eaton Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2015
- Last updated
- Nov 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2247 | ND | Yes |
Other names
- Valley Dental (Doing Business As)
Practice location
1338 Gateway Dr SFargo, ND 58103-3512
Phone 701-232-1664
Mailing address
1338 Gateway Dr SFargo, ND 58103-3512
Phone 701-232-1664
Authorized official
Meghan Marie Smith
Owner/Dentist
7012321664
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