| NPI | 1851100143 |
|---|---|
| Doing Business As | NORDAHL DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY INGRAM Dentist 559-360-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-07 |