Organization
AMUNDSON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J AMUNDSON (OFFICE MANAGER)
(701) 772-0171
Entity
Organization
Contact information
Practice address
2600 DEMERS AVE STE 107, GRAND FORKS, ND 58201-4100
(701) 772-0171
(701) 772-3138
Mailing address
2600 DEMERS AVE STE 107, GRAND FORKS, ND 58201-4100
(701) 772-0171
(701) 772-3138
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1781
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437228095
—
ND
Enumeration date
06/01/2017
Last updated
07/21/2022
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