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Organization

SJULSON FAMILY DENTISTRY

Active
Other names
Dr. Sjulson's Dental Office
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER WAYNE SJULSON D.D.S. (DENTIST)
(218) 435-1599
Entity
Organization

Contact information

Practice address
109 JOHNSON AVE. N, FOSSTON, MN 56542-1327
(218) 435-1599
(218) 435-6568
Mailing address
109 JOHNSON AVE N., FOSSTON, MN 56542-1327
(218) 435-1599
(218) 435-6568

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8437
MN
122300000X
Dentist
LGL5
MN

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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