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Organization
DAKOTA SURGERY & LASER CENTER LLC
Active
Organization
DAKOTA SURGERY & LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEESA A BRORBY (ADMINISTRATOR)
(701) 222-3937
Entity
Organization
Contact information
Practice address
430 E SWEET AVE, BISMARCK, ND 58504-5658
(701) 222-4900
(701) 222-4999
Mailing address
200 S 5TH ST, BISMARCK, ND 58504-5675
(701) 222-3937
(701) 222-8805
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452423
—
ND
Enumeration date
05/31/2006
Last updated
04/24/2024
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