Organization
PRAIRIES EDGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKKA BUCHHOLZ (OFFICE MANAGER)
(218) 739-2297
Entity
Organization
Contact information
Practice address
106 E WASHINGTON AVE, FERGUS FALLS, MN 56537-2853
(218) 739-2297
(218) 739-4142
Mailing address
106 E WASHINGTON AVE, FERGUS FALLS, MN 56537-2853
(218) 739-2297
(218) 739-4142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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