| L.o Brend DDS PC | |
|
1143 W Turnpike Ave Bismarck ND 58501-8115 | |
| (701) 255-2467 | |
| Not Available |
| Full Name | L.o Brend DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1143 W Turnpike Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Lee O Brend (OWNER) |
| Authorized Official Contact | 7012552467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.o Brend DDS PC 1143 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 255-2467 | L.o Brend DDS PC 1143 W Turnpike Ave Bismarck ND 58501-8115 Ph: (701) 255-2467 |
| NPI Number | 1912119504 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912119504 | NPI | - | NPPES |
| 1418 | Other | ND | NORTH DAKOTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1418 (North Dakota) | Primary |
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