Individual
DR. BETH AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1005 HART BLVD., MONTICELLO, MN 55362
(763) 295-5177
Mailing address
13753 54TH AVE N, PLYMOUTH, MN 55446-1153
(763) 550-2312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10913
MN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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