Skatvold Family Dentistry P.C.
Dentist, General Practice in Moorhead, MN. Organization (NPI-2).
NPI number1811094014
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1811094014
- Entity type
- Organization (NPI-2)
- Legal business name
- Skatvold Family Dentistry P.C.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D11422 | MN | Yes |
Practice location
1401 8th St SMoorhead, MN 56560-3605
Phone 218-236-5466 · Fax 218-236-4948
Mailing address
1401 8th St SMoorhead, MN 56560-3605
Phone 218-236-5466 · Fax 218-236-4948
Authorized official
Erik Paul Skatvold
President
2182365466
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