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DR. NICOLE R AMUNDSON DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1477715514

Individual Registrant:
DR. NICOLE R AMUNDSON DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11475 ROBINSON DR NW  COON RAPIDS, MN 55433 US
Tel: 763-587-9100  Fax: 763-587-9101

Contact information for business:
11475 ROBINSON DR NW  COON RAPIDS, MN 55433 US
Tel: 763-587-9100  Fax: 763-587-9101

Registration Information:
NPI: 1477715514
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MND12528
N1223G0001XDental Providers
Dentist
MN12528

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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