Brian Lee Lundberg, D.M.D.

NPI #1629284039 in Logan, Utah

Provider Information

NPI Number
1629284039
Entity Type
Individual
Name
Brian Lee Lundberg, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
May 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
655 DARWIN AVE
City
Logan
State
Utah
ZIP Code
84321-6156
Phone
(435) 752-7442

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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