Organization
LUNDSTROM & SKARI FAMILY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G LUNDSTROM DDS (OWNER)
(701) 293-7718
Entity
Organization
Contact information
Practice address
4110 40TH ST S, FARGO, ND 58104-3970
(701) 293-7718
Mailing address
4110 40TH ST S, FARGO, ND 58104-3970
(701) 293-7718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ND1837
ND
1223G0001X
General Practice Dentistry
ND1916
ND
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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