# DAHL & MACK DENTAL, PC

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

## Provider details

- **NPI number:** 1730395435
- **Authorized official:** MR. JONATHAN P DAHL DDS (PRESIDENT)
- **Authorized official phone:** (701) 237-5616

## Contact information

- **Practice address:** 1324 23RD ST S, SUITE 1A, FARGO, ND 58103-3702
- **Practice address phone:** (701) 237-5616
- **Practice address fax:** (701) 271-8813
- **Mailing address:** 1324 23RD ST S, FARGO, ND 58103-3702
- **Mailing address phone:** (701) 237-5616
- **Mailing address fax:** (701) 271-8813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2065 | ND | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 12/14/2017