Wallace Earl Lunden III DDS

NPI 1093767345 - Dentist - 122300000X

NPI Details
NPI 1093767345
Gender Male
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1404 EAST 66TH STREET
RICHFIELD MN, 55423, US
Phone (612) 866-9622
Fax (612) 866-3877
Business Location
3901 AUBURN DRIVE
MINNETONKA MN, 55305, US
Phone (952) 938-8110
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 8483
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According to our database, Dr. Wallace Earl Lunden III DDS NPI is 1093767345, taxonomy code is 122300000X and license number is 8483, license state is located at Minnesota. Wallace Earl Lunden III DDS physically located at 1404 East 66th Street, Richfield MN, 55423. NPI Number Wallace Earl Lunden III DDS has the Individual type.

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1093767345 NPI number is provided on an as is basis without warranty of any kind. 1093767345 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Earl Lunden III DDS are for informational purposes only.