| Day Dental Pc | |
|
5120 Prosperity Way S Ste 108 Fargo ND 58104-7568 | |
| (701) 888-9222 | |
| Not Available |
| Full Name | Day Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5120 Prosperity Way S Ste 108, Fargo, North Dakota |
| Authorized Official Name and Position | Kelly Johnson (BUSINESS MANAGER) |
| Authorized Official Contact | 7018889222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Day Dental Pc 5120 Prosperity Way S Ste 108 Fargo ND 58104-7568 Ph: (701) 888-9222 | Day Dental Pc 5120 Prosperity Way S Ste 108 Fargo ND 58104-7568 Ph: (701) 888-9222 |
| NPI Number | 1184210544 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184210544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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