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2m Dental Group

Dentist, General Practice in Bismarck, ND. Organization (NPI-2).

NPI number1124484464
StatusActive
Last updated in NPPESJan 19, 2016

Details

NPI
1124484464
Entity type
Organization (NPI-2)
Legal business name
2m Dental Group
Organization subpart
No
Enumeration date
Dec 31, 2015
Last updated
Jan 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2137NDYes
1223G0001X Dentist, General Practice1418ND
1223P0700X Dentist, Prosthodontics2140ND

Practice location

1143 W Turnpike Ave
Bismarck, ND 58501-8115

Phone 701-255-2467

Mailing address

1143 W Turnpike Ave
Bismarck, ND 58501-8115

Authorized official

Megan Brend
Partner
7012552467

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