| Parkside Dental Pc | |
|
701 3rd St Ne Minot ND 58703-2401 | |
| (701) 852-5333 | |
| Not Available |
| Full Name | Parkside Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 3rd St Ne, Minot, North Dakota |
| Authorized Official Name and Position | Lowell L Cheney (PRESIDENT) |
| Authorized Official Contact | 7018525333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Dental Pc 701 3rd St Ne Minot ND 58703-2401 Ph: () - | Parkside Dental Pc 701 3rd St Ne Minot ND 58703-2401 Ph: (701) 852-5333 |
| NPI Number | 1588838106 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588838106 | NPI | - | NPPES |
| 41332 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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