Individual
MEDORA CAROLINE WEST-ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3285 FIECHTNER DR S STE C, FARGO, ND 58103-2490
(701) 850-8712
(701) 850-8711
Mailing address
3285 FIECHTNER DR S STE C, FARGO, ND 58103-2490
(701) 850-8712
(701) 850-8711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2285
ND
1223G0001X
General Practice Dentistry
IN PROCESS 6-13-16
ND
Other
Enumeration date
03/02/2016
Last updated
08/21/2024
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