| Priscila J Jelsing Dds Pc | |
|
204 2nd Ave Ne Box 642 Hazen ND 58545-4420 | |
| (701) 748-2730 | |
| (701) 748-5118 |
| Full Name | Priscila J Jelsing Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 204 2nd Ave Ne, Hazen, North Dakota |
| Authorized Official Name and Position | Priscila Jelsing (PRESIDENT) |
| Authorized Official Contact | 7017482730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priscila J Jelsing Dds Pc 204 2nd Ave Ne Po Box 642 Hazen ND 58545-4420 Ph: (701) 748-2730 | Priscila J Jelsing Dds Pc 204 2nd Ave Ne Box 642 Hazen ND 58545-4420 Ph: (701) 748-2730 |
| NPI Number | 1952692451 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952692451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2094 (North Dakota) | Primary |
Mark E. Jahraus, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 2nd Ave Ne, Hazen, ND 58545 Phone: 701-748-2730 |