Individual
DR. MARY JANE LUNGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
742 CAMANO AVE, SUITE 101A, LANGLEY, WA 98260-9577
(360) 221-6373
Mailing address
742 CAMANO AVE, SUITE 101A, LANGLEY, WA 98260-9577
(360) 221-6373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006325
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047121
—
WA
Enumeration date
02/07/2007
Last updated
07/09/2007
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