Taylor N Ensrude, DDS
Dentist in Fargo, ND. Individual provider (NPI-1).
NPI number1174192553
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1174192553
- Entity type
- Individual (NPI-1)
- Name
- Taylor N Ensrude
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2436 | ND | Yes |
Practice location
1411 32nd St S Ste 1Fargo, ND 58103-6304
Phone 701-235-8978
Mailing address
4201 38th St S Ste 106Fargo, ND 58104-7535
Phone 701-235-8978
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