Svetlana Konstantinovna Sampson, DDS Valid NPI
Individual provider · Dentist · Fergus Falls, MN
- NPI
- 1386930485
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D12978 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-06-27
- Last updated
- 2011-06-27
Practice location
2001 W Lincoln Ave Ste 33
Fergus Falls, MN 56537-1010
(218) 998-2218