Individual
DR. PAUL AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 647-2525
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12465
MN
1223G0001X
General Practice Dentistry
D6954
AZ
Other
Enumeration date
07/21/2006
Last updated
03/17/2018
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