# PARSHALL DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154579274
- **Authorized official:** MS. PENNY ESTVOLD (OFFICE MANAGER)
- **Authorized official phone:** (701) 862-3121

## Contact information

- **Practice address:** 20 S MAIN, PARSHALL, ND 58770-0520
- **Practice address phone:** (701) 862-3121
- **Mailing address:** 20 S MAIN, PO BOX 520, PARSHALL, ND 58770-0520
- **Mailing address phone:** (701) 862-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41163 | — | ND |