Prairie Rose Family Dentists

NPI #1144391632 in Bismarck, North Dakota

Provider Information

NPI Number: 1144391632
Entity Type: Organization
Organization Name: Prairie Rose Family Dentists
Primary Specialty: Dentist
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 121 E FRONT AVE
City: Bismarck
State: North Dakota
ZIP Code: 58504-5589
Phone: (701) 223-1194

Authorized Official

Name: DR. BRADLEY E KING, DDS
Title: PRESIDENT
Phone: (701) 223-1194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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