AMUNDSON FAMILY DENTISTRY NPI 1043656168

NPI Information

AMUNDSON FAMILY DENTISTRY is a dental clinic center in Cottage Grove, MN. AMUNDSON FAMILY DENTISTRY NPI is 1043656168. The provider is registered as an organization entity type.

The provider's business location address is:

6939 PINE ARBOR DR S
STE 104
COTTAGE GROVE, MN
ZIP 55016-642
Phone: (651) 459-3514
Fax: (651) 459-4537

The provider's authorized official is Lisa Kathleen Amundson .
The authorized official title is Owner/dentist and has the following contact phone number (651) 459-3514.

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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