Prairie Rose Family Dentists

NPI #1679042519 in Bismark, North Dakota

Provider Information

NPI Number
1679042519
Entity Type
Organization
Organization Name
Prairie Rose Family Dentists
Subpart
Yes (part of a larger organization)
Parent Organization
PRAIRIE ROSE FAMILY DENTISTS
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 21, 2018
Last Updated
Nov 21, 2018

Practice Location

Address
1110 COLLEGE DR.
Address 2
SUITE 110
ZIP Code
58501
Phone
(701) 258-8100

Authorized Official

Name
DR. RICHARD J HIEB, DDS
Title
PARTNER
Phone
(701) 223-1194

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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