Individual
DR. ELIZABETH ANN AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2306 S. BROADWAY STREET S, SUITE 4, ALEXANDRIA, MN 56308-3461
(320) 762-5216
(320) 762-5694
Mailing address
2306 S. BROADWAY STREET S, SUITE 4, ALEXANDRIA, MN 56308-3461
(320) 762-5216
(320) 762-5694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12992
MN
1223G0001X
General Practice Dentistry
6409-15
WI
Other
Enumeration date
06/24/2009
Last updated
10/03/2013
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