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Contact Information

LUNDIN DENTAL PC
1741 MESQUITE AVENUE STE B 100
LAKE HAVASU CITY, AZ86403
 Phone: 928-855-0556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LUNDIN DENTAL PC

NPI Number 1447643358
LBN Legal business name LUNDIN DENTAL PC
Authorized official LARRY LUNDIN - (CORPORATION PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2015
Last updated 03/17/2015 - About 11 years ago
Identifiers
AZ License # D03730
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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