Prairie Oral Surgery Ltd
NPI #1598763120 in Fargo, North Dakota
Provider Information
- NPI Number
- 1598763120
- Entity Type
- Organization
- Organization Name
- Prairie Oral Surgery Ltd
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jul 8, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2585 23RD AVE S
- Address 2
- STE A.
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103
- Phone
- (701) 478-4404
Authorized Official
- Name
- MRS. BETH MARIE JAROSZEWSKI
- Title
- FINANCE COORDINATOR
- Phone
- (701) 478-4404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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