Individual
ALLISON AUDREY LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2855 35TH AVE UNIT B, GREELEY, CO 80634-9474
(970) 660-0925
Mailing address
PO BOX 1039, VERDI, NV 89439-1039
(775) 750-2080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00206084
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
07/30/2024
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