Organization
PRAIRIE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SARSLAND DDS (DENTIST)
(701) 523-3255
Entity
Organization
Contact information
Practice address
608 HIGHWAY 12 W, BOWMAN, ND 58623-4507
(701) 523-3255
(701) 523-5742
Mailing address
PO BOX 710, BOWMAN, ND 58623-0710
(701) 523-3255
(701) 523-5742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2101
ND
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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