| NPI | 1407020159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G LUNDSTROM Owner 701-293-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND ND1837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: ND ND1916) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |