Individual
PETER LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 E EVERGREEN AVE, MT PROSPECT, IL 60056-3240
(847) 253-8350
Mailing address
200 E EVERGREEN AVE, MT PROSPECT, IL 60056-3240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019020
IL
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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