Individual
DR. JARED B GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4401 23RD AVE S, FARGO, ND 83402
(701) 232-1500
Mailing address
4401 23RD AVE S, FARGO, ND 58104
(701) 232-1500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3818 OR
ID
Other
Enumeration date
08/04/2009
Last updated
04/20/2021
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