John Lundgren, DDS

NPI #1043674377 in Omaha, Nebraska

Provider Information

NPI Number: 1043674377
Entity Type: Individual
Name: John Lundgren, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 13, 2016
Last Updated: Jan 24, 2017

Practice Location

Address: 3515 S 116TH ST
City: Omaha
State: Nebraska
ZIP Code: 68144-4648
Phone: (402) 980-1778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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