# LUNDSTROM & SKARI FAMILY DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295975738
- **Authorized official:** HAILEY JO SCHEPP (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (701) 293-7718

## Contact information

- **Practice address:** 4110 40TH ST S, FARGO, ND 58104-3970
- **Practice address phone:** (701) 293-7718
- **Practice address fax:** (701) 293-1296
- **Mailing address:** 4110 40TH ST S, FARGO, ND 58104-3970
- **Mailing address phone:** (701) 293-7718
- **Mailing address fax:** (701) 293-1296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | ND1837 | ND | Yes |
| 1223G0001X | General Practice Dentistry | ND1916 | ND | — |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 02/24/2009