Organization
SLENDERLITE, LLC
Active
Other names
Skin Appeal
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M BAGAN M.D. (OWNER)
(701) 293-8242
Entity
Organization
Contact information
Practice address
4344 20TH AVE S, FARGO, ND 58103-7436
(701) 277-7200
Mailing address
4344 20TH AVE S, FARGO, ND 58103-7436
(701) 277-7200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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