NPI lookup

NPI

GOOSE RIVER DENTAL ASSOC., PC

This page is a copy of the public NPPES file.

Facts

Status
A
Type
Organization
Enumeration date
2006-09-25
Last updated
2020-08-22

Licenses

The registry row did not include a license.

Location

Practice location
37 1/2 MAIN ST E
City
MAYVILLE ND
Postal code
58257
Phone
701-788-4064

Organization contact

Name
ROBERT LAUF
Title
Owner
Phone
7017884064

Medicare

PECOS
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