Individual
JODY MILBERT LUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GDH
Contact information
Practice address
3664 MOUNT VERNON LN, WOODBURY, MN 55129-9382
(414) 303-2550
Mailing address
3664 MOUNT VERNON LN, WOODBURY, MN 55129-9382
(414) 303-2550
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5739-16
WI
124Q00000X
Dental Hygienist
H2738
MN
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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