Blake Ristvedt, D.D.S

NPI 1598147787 · on the registry since 2015 · sole proprietor

Practice

Address: 117 N Washington St
Grand Forks, ND 58203
Phone: (701) 746-1481
Organisation at this address: M.S. Johnson Pc
Anew Angela Muhs Licsw Pllc
Center For Smile Design, Ltd
Center For Healing And Wholeness
Anew Julie Riddle Msw Licsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota