Organization
FACE AND JAW SURGEONS PC
Active
Parent organization
FACE AND JAW SURGEONS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FACE AND JAW SURGEONS PC
Authorized official
MELINDA KLEINJAN (OFFICE MANAGER)
(701) 258-7220
Entity
Organization
Contact information
Practice address
1517 12 AVE NE, JAMESTOWN, ND 58401
(701) 239-5969
Mailing address
4344 20TH AVE S STE 2, FARGO, ND 58103-7436
(701) 239-5969
(701) 239-0034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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