Individual
JULIA MARY GUDMUNDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5001 W ST JOE HWY, LANSING, MI 48917-4023
(517) 321-2358
(517) 321-4420
Mailing address
5001 W ST JOE HWY, LANSING, MI 48917-4023
(517) 321-2358
(517) 321-4420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015606
MI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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