Organization
JULIA M GUDMUNDSEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA MARY GUDMUNDSEN DDS (PRESIDENT)
(517) 321-2358
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
15606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063597300
NPPES
MI
Enumeration date
09/16/2014
Last updated
09/16/2014
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