Organization
MODERN ESTHETICS & DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY BEYER NP (NURSE PRACTITIONER, OWNER)
(701) 201-0636
Entity
Organization
Contact information
Practice address
514 THOMPSON ST STE 1, BOTTINEAU, ND 58318-1238
(701) 201-0636
Mailing address
322 5TH ST E, BOTTINEAU, ND 58318-1402
(701) 201-0636
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
01/17/2025
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