| Custom Endodontics, Pc | |
|
521 E Main Ave Suite 100 Bismarck ND 58501-4418 | |
| (701) 255-2523 | |
| (701) 525-5765 |
| Full Name | Custom Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 521 E Main Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Steve W Osmond (DOCTOR/OWNER) |
| Authorized Official Contact | 7012552523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Endodontics, Pc 521 E Main Ave Suite 100 Bismarck ND 58501-4418 Ph: (701) 255-2523 | Custom Endodontics, Pc 521 E Main Ave Suite 100 Bismarck ND 58501-4418 Ph: (701) 255-2523 |
| NPI Number | 1124468590 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124468590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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