Amundson Family Dentistry
NPI #1043656168 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1043656168
- Entity Type
- Organization
- Organization Name
- Amundson Family Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 15, 2013
- Last Updated
- May 15, 2013
Practice Location
- Address
- 6939 PINE ARBOR DR S
- Address 2
- STE 104
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4642
- Phone
- (651) 459-3514
Authorized Official
- Name
- LISA KATHLEEN AMUNDSON, DDS
- Title
- OWNER/DENTIST
- Phone
- (651) 459-3514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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