DR. BREYNNE FORDAHL, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1790795235
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 12259 (MN) |
| Dentist - General Practice | 1223G0001X | Yes | D12259 (MN) |
Frequently Asked Questions
NPI 1790795235 is the National Provider Identifier for DR. BREYNNE FORDAHL, D.D.S., a Dentist - General Practice provider located in Stillwater, MN. This NPI was enumerated on August 8, 2006.
DR. BREYNNE FORDAHL, D.D.S. practices at 14727 60TH ST. N, Stillwater, MN 55082.
Quick Facts
- NPI
- 1790795235
- Type
- Individual
- Enumerated
- Aug 8, 2006
- Last Updated
- Nov 30, 2012
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