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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:
Tel: 701-255-2467  Fax: --

Business Mailing Address:
Tel: --  Fax: --

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
General Practice
N1223P0700XDental Providers
Y1223G0001XDental Providers

Other Provider Identifiers:

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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