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Organization
AD ASTRUM LLC
Active
Organization
AD ASTRUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SONODA (OWNER)
(218) 751-2659
Entity
Organization
Contact information
Practice address
2219 PAUL BUNYAN DR NW STE 6-7, BEMIDJI, MN 56601-6188
(218) 751-2659
Mailing address
5215 S DURANGO DR STE 3, LAS VEGAS, NV 89113-0163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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