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Individual

LARRY C LUNDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1741 MESQUITE AVE, B 100, LAKE HAVASU CITY, AZ 86403
(928) 855-0556
(928) 855-2684
Mailing address
1741 MESQUITE AVE, B 100, LAKE HAVASU CITY, AZ 86403
(928) 855-0556
(928) 855-2684

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3730
AZ

Other

Enumeration date
04/17/2007
Last updated
03/09/2015
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