Individual
DR. SHANDRA DEE ROSENFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3633 LINCOLN ST S STE C, FARGO, ND 58104-7771
(701) 373-0681
(701) 373-0684
Mailing address
3633 LINCOLN ST S STE C, FARGO, ND 58104-7771
(701) 373-0681
(701) 373-0684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1965
ND
1223G0001X
General Practice Dentistry
D12112
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1850732
UNITED CONCORDIA
PA
01
—
949311
DENTAL SERVICE CORP OF ND
ND
Enumeration date
09/15/2006
Last updated
01/27/2021
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