Quinn L Lundberg JR. DMD

NPI 1205906617 - Dentist - 122300000X

NPI Details
NPI 1205906617
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
409 MAIN STREET
BROCKWAY PA, 15824, US
Phone (814) 268-6614
Fax (814) 268-6614
Business Location
409 MAIN STREET
BROCKWAY PA, 15824, US
Phone (814) 268-6614
Fax (814) 268-6614
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS027644L
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According to our database, Mr. Quinn L Lundberg JR. DMD NPI is 1205906617, taxonomy code is 122300000X and license number is DS027644L, license state is located at Pennsylvania. Quinn L Lundberg JR. DMD physically located at 409 Main Street, Brockway PA, 15824. NPI Number Quinn L Lundberg JR. DMD has the Individual type.

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1205906617 NPI number is provided on an as is basis without warranty of any kind. 1205906617 is maintained by the National Plan & Provider Enumeration System. The contents of Quinn L Lundberg JR. DMD are for informational purposes only.