# MODERN ESTHETICS & DERMATOLOGY, PLLC

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

## Provider details

- **NPI number:** 1952044968
- **Authorized official:** MOLLY BEYER NP (NURSE PRACTITIONER, OWNER)
- **Authorized official phone:** (701) 201-0636

## Contact information

- **Practice address:** 514 THOMPSON ST STE 1, BOTTINEAU, ND 58318-1238
- **Practice address phone:** (701) 201-0636
- **Mailing address:** 322 5TH ST E, BOTTINEAU, ND 58318-1402
- **Mailing address phone:** (701) 201-0636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2022
- **Last updated:** 01/17/2025