| NPI | 1881933034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILA DORNFELD Owner 701-577-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2025-03-21 |