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 |