National Provider Identifier Database

LUNDIN DENTAL PC
Customized Equipment


Contact Information

LUNDIN DENTAL PC
1741 MESQUITE AVENUE STE B 100
LAKE HAVASU CITY, AZ86403
Phone: 928-855-0556
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for LUNDIN DENTAL PC

NPI Number 1447643358
Legal business name
LBN
LUNDIN DENTAL PC
Authorized official LARRY LUNDIN - (CORPORATION PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/17/2015
Last updated 03/17/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: D03730

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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