Provider First Line Business Practice Location Address:
3182 BUREAU OF INDIAN AFFAIRS ROAD 6
Provider Second Line Business Practice Location Address:
303
Provider Business Practice Location Address City Name:
DUNSEITH
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58329-0303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-550-6392
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2026