Jodi Michelle Fonkert, DDS Valid NPI
Individual provider · Dentist · Willmar, MN
- NPI
- 1285718304
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D10807 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Practice location
1101 South First Street, Suite 3
Willmar, MN 56201
(320) 235-2780