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PRAIRIE ORAL SURGERY LTD

Organization (NPI-2) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1912859364
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1225 WASHINGTON AVE, DETROIT LAKES, MN, 565013905
Phone
(701) 478-4404
Fax
(701) 478-4407

Specialties & Taxonomies

Oral & Maxillofacial Surgery Primary

All Addresses

MAILING

2585 23RD AVE S UNIT A

FARGO, ND, 581036172

(701) 478-4404

LOCATION

1225 WASHINGTON AVE

DETROIT LAKES, MN, 565013905

(701) 478-4404