Individual
DR. NATHAN ROBERT LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP, 2817 REILLY RD, MCDS-NA-B, FORT BRAGG, NC 28310-0001
(910) 396-5610
(910) 396-7017
Mailing address
622 ROOSEVELT RD 180, SAINT CLOUD, MN 56301-6361
(320) 259-5078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12527
MN
Other
Enumeration date
07/24/2008
Last updated
12/10/2015
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