Most Relevant Information
Provider Data
| NPI Number: | 1003026337 |
| Provider Name: | JAMES FRED LUNDSTROM |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | ND1380 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4110 40TH ST S
FARGO
ND
58104
Practice Location Phone/Fax
| Phone: | 7012937718 |
| Fax: | 7012931296 |
Provider Mailing Location
4110 40TH ST S
FARGO
ND
58104
Provider Mailing Phone/Fax
| Phone: | 7012937718 |
| Fax: | 7012931296 |