Individual
TAYLOR N ENSRUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1411 32ND ST S STE 1, FARGO, ND 58103-6304
(701) 235-8978
Mailing address
4201 38TH ST S STE 106, FARGO, ND 58104-7535
(701) 235-8978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2436
ND
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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