Whalio Doctors

NPI 1013326768

Gary Cornforth

Organisation Dental Clinic/Center Fargo, ND

Practice location

Address
2534 University Dr S Suite #6, Fargo, ND 58103-5700
Phone
(701) 232-1500
Fax
(701) 293-6969

Authorised official

Name
Gary Cornforth
Title
Orthodontist
Phone
(701) 232-1500

Registered specialties

Dental Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 1504C (ND)

Registry record

NPI
1013326768
Entity type
Organization
NPI issued
7 Aug 2014
Record last updated
7 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.