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Organization

LUNDSTROM & SKARI FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAILEY JO SCHEPP (BUSINESS OFFICE MANAGER)
(701) 293-7718
Entity
Organization

Contact information

Practice address
4110 40TH ST S, FARGO, ND 58104-3970
(701) 293-7718
(701) 293-1296
Mailing address
4110 40TH ST S, FARGO, ND 58104-3970
(701) 293-7718
(701) 293-1296

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ND1837
ND
1223G0001X
General Practice Dentistry
ND1916
ND

Other

Enumeration date
02/24/2009
Last updated
02/24/2009
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