Individual
SARA LYNN KLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 S MAIN AVE, RUGBY, ND 58368-1733
(701) 776-7700
(701) 776-7702
Mailing address
1204 ELM ST, BOTTINEAU, ND 58318-1908
(701) 480-9688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2281
ND
Other
Enumeration date
04/08/2016
Last updated
07/08/2016
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