| Prairies Edge Dental Llc | |
|
106 E Washington Ave Fergus Falls MN 56537-2853 | |
| (218) 739-2297 | |
| (218) 739-4142 |
| Full Name | Prairies Edge Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 E Washington Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Rebekka Buchholz (OFFICE MANAGER) |
| Authorized Official Contact | 2187392297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairies Edge Dental Llc 106 E Washington Ave Fergus Falls MN 56537-2853 Ph: (218) 739-2297 | Prairies Edge Dental Llc 106 E Washington Ave Fergus Falls MN 56537-2853 Ph: (218) 739-2297 |
| NPI Number | 1992385942 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992385942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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