Individual
BRETT B LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 MARTIN ST STE B, TWIN FALLS, ID 83301-4563
(208) 732-7447
(208) 733-5940
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-3313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4191
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-4191
IDAHO STATE BOARD OF DENTISTRY
ID
Enumeration date
10/20/2006
Last updated
12/03/2012
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