MR. Kelly James Lundeen, DDS

NPI #1396859336 in Hurricane, Utah

Provider Information

NPI Number: 1396859336
Entity Type: Individual
Name: MR. Kelly James Lundeen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 75 S 300 W
City: Hurricane
State: Utah
ZIP Code: 84737-2198
Phone: (435) 635-5940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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