Organization
LESLIE K. LUNDQUIST DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE K LUNDQUIST DDS (OWNER)
(336) 722-0394
Entity
Organization
Contact information
Practice address
3234 REYNOLDA RD, WINSTON SALEM, NC 27106-3040
(336) 722-0394
Mailing address
3234 REYNOLDA RD, WINSTON SALEM, NC 27106-3040
(336) 722-0394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6057
NC
Other
Enumeration date
11/01/2006
Last updated
12/21/2011
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