DR. Brent Dee Lundberg, D.M.D.

NPI #1043359177 in Midvale, Utah

Provider Information

NPI Number: 1043359177
Entity Type: Individual
Name: DR. Brent Dee Lundberg, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 684 W CENTER ST
City: Midvale
State: Utah
ZIP Code: 84047-7124
Phone: (801) 255-4953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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