Organization
DAHL & MACK DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN P DAHL DDS (PRESIDENT)
(701) 237-5616
Entity
Organization
Contact information
Practice address
1324 23RD ST S, SUITE 1A, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Mailing address
1324 23RD ST S, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2065
ND
Other
Enumeration date
05/16/2007
Last updated
12/14/2017
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