DR. James Fred Lundstrom

NPI #1003026337 in Fargo, North Dakota

Provider Information

NPI Number: 1003026337
Entity Type: Individual
Name: DR. James Fred Lundstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4110 40TH ST S
City: Fargo
State: North Dakota
ZIP Code: 58104
Phone: (701) 293-7718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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