Individual
DR. NICOLE R AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433
(763) 587-9100
(763) 587-9101
Mailing address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433
(763) 587-9100
(763) 587-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12528
MN
1223G0001X
General Practice Dentistry
12528
MN
Other
Enumeration date
06/30/2008
Last updated
11/26/2012
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