Face & Jaw Surgery Center Pc

NPI 1104863505 - Dentist - 1223S0112X

NPI Details
NPI 1104863505
Enumeration Date 06/02/2006
Last Updated 12/12/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GERARD F GERARD
Position PRESIDENT
Phone (701) 852-3421
Fax (701) 838-1842
Practice Location
2615 ELK DR
SUITE 3
MINOT ND, 58701-1200, US
Phone (701) 852-3421
Fax (701) 838-1842
Business Location
2615 ELK DR
SUITE 3
MINOT ND, 58701-1200, US
Phone (701) 852-3421
Fax (701) 838-1842
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
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According to our database, Face & Jaw Surgery Center Pc NPI is 1104863505, taxonomy code is 1223S0112X Face & Jaw Surgery Center Pc physically located at 2615 Elk Dr, Minot ND, 58701-1200. NPI Number 1033115704 has the healthcare provider type.

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1104863505 NPI number is provided on an as is basis without warranty of any kind. 1104863505 is maintained by the National Plan & Provider Enumeration System. The contents of Face & Jaw Surgery Center Pc are for informational purposes only.