Organization
PRAIRIE ROSE FAMILY DENTISTS
Active
Parent organization
PRAIRIE ROSE FAMILY DENTISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE ROSE FAMILY DENTISTS
Authorized official
DR. RICHARD J HIEB DDS (PARTNER)
(701) 223-1194
Entity
Organization
Contact information
Practice address
1110 COLLEGE DR., SUITE 110, BISMARK, ND 58501
(701) 258-8100
Mailing address
121 E. FRONT AVE., BISMARK, ND 58504
(701) 223-1194
(701) 250-9614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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