Organization
DAY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY JOHNSON (BUSINESS MANAGER)
(701) 888-9222
Entity
Organization
Contact information
Practice address
5120 PROSPERITY WAY S STE 108, FARGO, ND 58104-7568
(701) 888-9222
Mailing address
5120 PROSPERITY WAY S STE 108, FARGO, ND 58104-7568
(701) 888-9222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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