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Individual
MR. TRACE MICHAEL LUND
Active
Individual
MR. TRACE MICHAEL LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
344947-8903
UT
1223P0221X
Pediatric Dentistry
Primary
344947-9922
UT
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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