Jack Lundgren, DDS

NPI #1194802918 in Lihue, Hawaii

Provider Information

NPI Number: 1194802918
Entity Type: Individual
Name: Jack Lundgren, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4347 RICE ST
Address 2: STE 201
City: Lihue
State: Hawaii
ZIP Code: 96766-1335
Phone: (808) 246-4881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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