Spirit Lake Tribe
Dentist in Fort Totten, ND. Organization (NPI-2).
NPI number1508317090
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1508317090
- Entity type
- Organization (NPI-2)
- Legal business name
- Spirit Lake Tribe
- Organization subpart
- Yes
- Enumeration date
- Oct 19, 2016
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Spirit Lake Health Center (Doing Business As)
Practice location
3883 74th Ave NeFort Totten, ND 58335
Phone 701-766-1600 · Fax 701-766-1630
Mailing address
Po Box 309Fort Totten, ND 58335-0309
Phone 701-766-1600 · Fax 701-766-1630
Authorized official
Michelle Belt
Ceo
7017661600
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