Organization
PARSHALL DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY ESTVOLD (OFFICE MANAGER)
(701) 862-3121
Entity
Organization
Contact information
Practice address
20 S MAIN, PARSHALL, ND 58770-0520
(701) 862-3121
Mailing address
20 S MAIN, PO BOX 520, PARSHALL, ND 58770-0520
(701) 862-3121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41163
—
ND
Enumeration date
09/03/2008
Last updated
09/03/2008
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