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Oral Surgery, Dental Specialists

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2M DENTAL GROUP

General Practice Dentist

Bismarck, North Dakota

Provider NPI: 1124484464

Organization Information:
Organization Name:  2M DENTAL GROUP
Organization is not Subpart
Authorized Official:  MEGAN  BREND  PARTNER  701-2552467

Practice Location:
1143 W TURNPIKE AVE  BISMARCK, ND 58501 US
Tel: 701-255-2467  Fax: --

Business Mailing Address:
1143 W TURNPIKE AVE  BISMARCK, ND 58501 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
ND1418
N1223P0700XDental Providers
Dentist
ND2140
Y1223G0001XDental Providers
Dentist
ND2137

Other Provider Identifiers:

IssuerNumberStateType
40382ND05
40098ND05
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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