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ROBERT ALLEN BOND DDS

Dentist

Fargo, North Dakota

Provider NPI: 1649331562

Provider Information:
 ROBERT ALLEN BOND DDS
Gender: M
Sole Proprietor


Practice Location:
2851 S UNIVERSITY DRIVE  FARGO, ND 58103 US
Tel: 701-235-3205  Fax: 701-235-3205

Business Mailing Address:
2851 S UNIVERSITY DRIVE  FARGO, ND 58103 US
Tel: 701-235-3205  Fax: 701-235-3205

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
ND1661

Other Provider Identifiers:

IssuerNumberStateType
040875ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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