Modern Esthetics & Dermatology, Pllc
NPI #1952044968 in Bottineau, North Dakota
Provider Information
- NPI Number
- 1952044968
- Entity Type
- Organization
- Organization Name
- Modern Esthetics & Dermatology, Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 18, 2022
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 514 THOMPSON ST STE 1
- City
- Bottineau
- State
- North Dakota
- ZIP Code
- 58318-1238
- Phone
- (701) 201-0636
Authorized Official
- Name
- MOLLY BEYER, NP
- Title
- NURSE PRACTITIONER, OWNER
- Phone
- (701) 201-0636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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