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Individual

JUSTIN LUND FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 N GILBERT RD STE A, GILBERT, AZ 85234-2321
(480) 571-4004
Mailing address
1400 N GILBERT RD STE A, GILBERT, AZ 85234-2321
(480) 571-4004

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
61953
KS
122300000X
Dentist
Primary
D011704
AZ

Other

Enumeration date
07/14/2022
Last updated
03/12/2025
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