# CAMERON LUNDIN DENTIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LUNDIN DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538705744
- **Authorized official:** CAMERON LUNDIN DDS (DOCTOR)
- **Authorized official phone:** (928) 486-1352

## Contact information

- **Practice address:** 1741 MESQUITE AVE STE 100B, LAKE HAVASU CITY, AZ 86403-5686
- **Practice address phone:** (928) 855-0556
- **Mailing address:** 1741 MESQUITE AVE STE 100B, LAKE HAVASU CITY, AZ 86403-5686
- **Mailing address phone:** (928) 855-0556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 04/16/2024