| NPI | 1760485965 |
|---|---|
| Other Name | MARK IRWIN KAMPFE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NE 5399) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 6481) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-08-05 |