Organization
GHASSEMLOUEI AND GUNDERSON DENTAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GUNDERSON DDS (OWNER DENTIST)
(414) 617-3683
Entity
Organization
Contact information
Practice address
2418 ENTERPRISE DR UNIT B, MENDOTA HEIGHTS, MN 55120-1361
(651) 452-2116
(651) 452-2695
Mailing address
2418 ENTERPRISE DR UNIT B, MENDOTA HEIGHTS, MN 55120-1361
(651) 452-2116
(651) 452-2695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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