Individual
DAVID AUGUSTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 WOODBURY DRIVE, STE 201, WOODBURY, MN 55125
(651) 739-7910
Mailing address
215 RADIO DR STE 201, WOODBURY, MN 55125-5815
(651) 739-7910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021643
MI
Other
Enumeration date
03/04/2014
Last updated
06/14/2022
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