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1104863505
FACE AND JAW SURGEONS PC
MINOT, ND
NPI
1104863505
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Entity Type
Organization
Authorized Contact
JOSEPH R DEATHERAGE
Dmd Md
701-258-7220
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2006-06-02
Last Update Date
2017-06-08
Business Address
FACE AND JAW SURGEONS PC
2615 ELK DR SUITE 3
MINOT, ND 58701-1200
Phone number: 701-852-3421
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Mailing Address
FACE AND JAW SURGEONS PC
2615 ELK DR SUITE 3
MINOT, ND 58701-1200
Phone number: 701-852-3421
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