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Organization

SHEYENNE DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEDORA CAROLINE WEST-ROEHL DMD (DENTIST OWNER)
(701) 850-8712
Entity
Organization

Contact information

Practice address
3285 FIECHTNER DR S STE C, FARGO, ND 58103-2490
(701) 850-8712
Mailing address
3285 FIECHTNER DR S STE C, FARGO, ND 58103-2490
(701) 850-8712

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/08/2024
Last updated
05/08/2024
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