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Organization

ANEW ORAL SURGERY PLLC

Active
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Organization

ANEW ORAL SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY LIEN (PRACTICE MANAGER)
(701) 707-3720
Entity
Organization

Contact information

Practice address
1918 9TH ST E STE B, WEST FARGO, ND 58078-8004
(701) 707-3720
(701) 707-3727
Mailing address
1918 9TH ST E STE B, WEST FARGO, ND 58078-8004
(701) 707-3720
(701) 707-3727

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
03/17/2023
Last updated
03/17/2023
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