| Jahraus Dental Clinic | |
|
204 2nd Ave Ne Hazen ND 58545-0642 | |
| (701) 748-2730 | |
| Not Available |
| Full Name | Jahraus Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 2nd Ave Ne, Hazen, North Dakota |
| Authorized Official Name and Position | Mark E. Jahraus (CORP. PRES.) |
| Authorized Official Contact | 7017482730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jahraus Dental Clinic Po Box 642 Hazen ND 58545-0642 Ph: (701) 748-2730 | Jahraus Dental Clinic 204 2nd Ave Ne Hazen ND 58545-0642 Ph: (701) 748-2730 |
| NPI Number | 1972723609 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972723609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1731 (North Dakota) | Primary |
Priscila J Jelsing Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 2nd Ave Ne, Box 642, Hazen, ND 58545 Phone: 701-748-2730 Fax: 701-748-5118 |