Organization
MARK S. LUND D.D.S., M.S.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LUND D.D.S., M.S.D. (PRESIDENT)
(317) 872-0173
Entity
Organization
Contact information
Practice address
3985 W 106TH ST STE 150, CARMEL, IN 46032-9245
(317) 872-0173
Mailing address
3985 W 106TH ST STE 150, CARMEL, IN 46032-9245
(317) 872-0173
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12007557A
IN
Other
Enumeration date
12/10/2006
Last updated
08/22/2020
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