Individual
JORDAN REED LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
226 N MARKET ST, LIGONIER, PA 15658-1236
(724) 238-9553
(724) 238-9554
Mailing address
226 N MARKET ST, LIGONIER, PA 15658-1236
(724) 238-9553
(724) 238-9554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS044644
PA
1223G0001X
General Practice Dentistry
Primary
DS044644
PA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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