Organization
GARY CORNFORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CORNFORTH DDS MS (ORTHODONTIST)
(701) 232-1500
Entity
Organization
Contact information
Practice address
2534 UNIVERSITY DR S, SUITE #6, FARGO, ND 58103-5700
(701) 232-1500
(701) 293-6969
Mailing address
2534 UNIVERSITY DR S, SUITE #6, FARGO, ND 58103-5700
(701) 232-1500
(701) 293-6969
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1504C
ND
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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