Individual
DR. WALLACE EARL LUNDEN III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1404 EAST 66TH STREET, RICHFIELD, MN 55423
(612) 866-9622
(612) 866-3877
Mailing address
3901 AUBURN DRIVE, MINNETONKA, MN 55305
(952) 938-8110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8483
MN
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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