# KRISTIAN LUNDGREN KOSZEGHY DMD MMSC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881604494
- **Authorized official:** KRISTIAN LUNDGREN-KOSZEGHY DMD MMSC (PERIODONTIST)
- **Authorized official phone:** (650) 326-1400

## Contact information

- **Practice address:** 850 MIDDLEFIELD RD, STE \#1, PALO ALTO, CA 94301
- **Practice address phone:** (650) 326-1400
- **Practice address fax:** (650) 326-2909
- **Mailing address:** 850 MIDDLEFIELD RD, STE \#1, PALO ALTO, CA 94301
- **Mailing address phone:** (650) 326-1400
- **Mailing address fax:** (650) 326-2909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | 51967 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 51967 | CA | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 09/11/2025