Ideal Image Dentistry & Spa | |
1008 E Main St Mandan ND 58554-3762 | |
(701) 667-1933 | |
(701) 667-2115 |
Full Name | Ideal Image Dentistry & Spa |
---|---|
Speciality | Dentist |
Location | 1008 E Main St, Mandan, North Dakota |
Authorized Official Name and Position | Leah N Brady (DENTIST) |
Authorized Official Contact | 7016671933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: () - | Ideal Image Dentistry & Spa 1008 E Main St Mandan ND 58554-3762 Ph: (701) 667-1933 |
NPI Number | 1295010742 |
---|---|
Provider Enumeration Date | 10/17/2011 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295010742 | NPI | - | NPPES |
40018 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2070 (North Dakota) | Primary |
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› Verified 4 days ago
Prairie Rose Family Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ln Nw, Mandan, ND 58554 Phone: 701-751-3237 | |
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Ideal Image Dentistry & Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E Main St, Mandan, ND 58554 Phone: 701-667-1933 |