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Individual
DR. ROGER MARTIN AMUNDSON
Active
Individual
DR. ROGER MARTIN AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1781
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41067
—
ND
01
—
901781
DSC CORPORATION
ND
Enumeration date
11/07/2006
Last updated
07/13/2021
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