Individual
DR. PEGGY LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12395 EL CAMINO REAL STE 218, SAN DIEGO, CA 92130-3084
(858) 755-8282
Mailing address
12395 EL CAMINO REAL STE 218, SAN DIEGO, CA 92130-3084
(858) 755-8282
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
052977
NY
1223P0221X
Pediatric Dentistry
Primary
62938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691596
—
NY
05
—
02838879
—
NY
Enumeration date
03/21/2007
Last updated
02/25/2022
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