# PRISCILA J JELSING DDS PC

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

## Provider details

- **NPI number:** 1952692451
- **Authorized official:** PRISCILA JELSING DDS (PRESIDENT)
- **Authorized official phone:** (701) 748-2730

## Contact information

- **Practice address:** 204 2ND AVE NE, BOX 642, HAZEN, ND 58545-4420
- **Practice address phone:** (701) 748-2730
- **Practice address fax:** (701) 748-5118
- **Mailing address:** 204 2ND AVE NE, PO BOX 642, HAZEN, ND 58545-4420
- **Mailing address phone:** (701) 748-2730
- **Mailing address fax:** (701) 748-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2094 | ND | Yes |

## Other

- **Enumeration date:** 05/02/2011
- **Last updated:** 05/02/2011