Organization · Type 2 NPI
Modern Esthetics & Dermatology, PLLC
Medical Specialty Clinic/Center · Bottineau, ND
Practice location
514 Thompson St Ste 1
Bottineau, ND 58318-1238
Mailing address
322 5th St E
Bottineau, ND 58318-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: 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).
About NPI 1952044968
Modern Esthetics & Dermatology, PLLC's National Provider Identifier is 1952044968, issued on Apr 18, 2022. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Bottineau, ND. The record was last updated on Jan 17, 2025.