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Individual

MR. JOHN P LUNDGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
7740 POINT MEADOWS DR, SUITE 3B, JACKSONVILLE, FL 32256-9179
(904) 517-5090
(904) 517-5091
Mailing address
7740 POINT MEADOWS DR, SUITE 3B, JACKSONVILLE, FL 32256-9179
(904) 517-5090
(904) 517-5091

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN16568
FL

Other

Enumeration date
04/06/2007
Last updated
01/14/2009
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