Individual
DR. DANIEL JEFFREY FORDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1120 BIRCH ST, FAIRMONT, MN 56031-4418
(507) 236-4276
Mailing address
26 SILVER LAKE DR, FAIRMONT, MN 56031-5081
(218) 341-8545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13876
MN
Other
Enumeration date
03/01/2017
Last updated
07/21/2022
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