Individual
DR. JERRY ROY LUNDGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
909 E WAYNE AVE, SALINA, KS 67401-2201
(785) 825-5473
(785) 825-8965
Mailing address
PO BOX 1424, SALINA, KS 67402-1424
(785) 825-5473
(785) 825-8965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4696
KS
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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