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Organization
LINDSTROM FAMILY DENTISTRY LLC
Active
Organization
LINDSTROM FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN HURSY DDS (MANAGING MEMBER)
(651) 257-4471
Entity
Organization
Contact information
Practice address
30554 PARK STREET NORTH, LINDSTROM, MN 55045
(651) 257-4471
(651) 257-2017
Mailing address
PO BOX 705, 30554 PARK STREET NORTH, LINDSTROM, MN 55045
(651) 257-4471
(651) 257-2017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8021
MN
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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