Individual
DR. PAUL PHILLIP LUNDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 N LYNNDALE DR, APPLETON, WI 54914-3011
(920) 731-4484
(920) 731-2889
Mailing address
1100 N LYNNDALE DR, APPLETON, WI 54914-3011
(920) 731-4484
(920) 731-2889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1001271-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
30405
IA
Other
Enumeration date
03/20/2014
Last updated
05/31/2016
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