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Organization

SERENITY VALLEY FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANDRA ROSENFELDT D.D,S (DOCTOR)
(701) 373-0681
Entity
Organization

Contact information

Practice address
3633 LINCOLN ST S, SUITE C, FARGO, ND 58104-7770
(701) 373-0681
Mailing address
3633 LINCOLN ST S, SUITE C, FARGO, ND 58104-7770

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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