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1225137805
BRUCE DAVID HUSTAD
DULUTH, MN
NPI
1225137805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 7814)
Enumeration Date
2006-09-21
Last Update Date
2007-10-30
Business Address
Dr. BRUCE DAVID HUSTAD DDS
1225 E 1ST ST
DULUTH, MN 55805-2402
Phone number: 218-728-6445
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Mailing Address
Dr. BRUCE DAVID HUSTAD DDS
1225 E 1ST ST
DULUTH, MN 55805-2402
Phone number: 218-728-6445
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