Individual
MR. KELLY JAMES LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 S 300 W, HURRICANE, UT 84737-2198
(435) 635-5940
(435) 635-5941
Mailing address
75 S 300 W, HURRICANE, UT 84737-2198
(435) 635-5940
(435) 635-5941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1444449922
UT
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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