Individual
DR. JAMES FRED LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 40TH ST S, FARGO, ND 58104
(701) 293-7718
(701) 293-1296
Mailing address
4110 40TH ST S, FARGO, ND 58104
(701) 293-7718
(701) 293-1296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ND1380
ND
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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