Sjulson Family Dentistry

NPI #1124386099 in Fosston, Minnesota

Provider Information

NPI Number: 1124386099
Entity Type: Organization
Organization Name: Sjulson Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2012
Last Updated: Apr 30, 2012

Practice Location

Address: 109 JOHNSON AVE. N
City: Fosston
State: Minnesota
ZIP Code: 56542-1327
Phone: (218) 435-1599

Authorized Official

Name: DR. ROGER WAYNE SJULSON, D.D.S.
Title: DENTIST
Phone: (218) 435-1599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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