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Individual

MARVIN LEWIS UGLAND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
825 28TH ST SW, SUITE F, FARGO, ND 58103-2325
(701) 237-4297
Mailing address
825 28TH ST SW, SUITE F, FARGO, ND 58103-2325
(701) 237-4297

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1414
ND

Other

Enumeration date
10/28/2005
Last updated
07/08/2007
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