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Modern Esthetics & Dermatology,pllc
Medical Specialty Clinic/Center in Bottineau, North Dakota
NPI 1952044968

Modern Esthetics & Dermatology,pllc is a Medical Specialty Clinic/Center based in Bottineau, ND and is specialized in Medical Specialty. Modern Esthetics & Dermatology,pllc practices in Bottineau, ND. The NPI Number for Modern Esthetics & Dermatology,pllc is 1952044968 and holds a License No. (North Dakota).

The current practice location address for Modern Esthetics & Dermatology,pllc is 514 Thompson St Ste 1, Bottineau, ND and can be reached out via phone at 701-201-0636.

Location: 514 Thompson St Ste 1, Bottineau, ND, 58318-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952044968
Provider Name
Modern Esthetics & Dermatology,pllc
Credential
Provider Entity Type
Organization
Address
514 Thompson St Ste 1, Bottineau, ND, 58318-1402
Phone Number
701-201-0636
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
514 Thompson St Ste 1
City
Bottineau
State
North Dakota
Zip
58318-1238
Phone Number
701-201-0636
Fax Number
person
Provider Business Mailing Address Details
Address
514 Thompson St Ste 1
City
Bottineau
State
North Dakota
Zip
58318-1238
Phone Number
701-201-0636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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