| NPI | 1790590248 |
|---|---|
| Doing Business As | NORTH FORK DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SAMPALIS Owner/Dentist 970-872-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |