Individual
MARK EDWARD JAHRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
204 2ND AVE NE, HAZEN, ND 58545-0642
(701) 748-2730
(701) 748-5118
Mailing address
PO BOX 642, HAZEN, ND 58545-0642
(701) 748-2730
(701) 748-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1731
ND
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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