Individual
SUSAN ALTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3210 18TH ST S STE A, FARGO, ND 58104-6789
(017) 280-1941
Mailing address
13 36TH AVE NE, FARGO, ND 58102-1206
(701) 729-1327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2381
ND
Other
Enumeration date
07/18/2016
Last updated
09/12/2022
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