Individual
DANIEL J LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 NE 114TH AVE STE K-6, VANCOUVER, WA 98684-4289
(360) 892-7107
(360) 891-8361
Mailing address
2701 NE 114TH AVE STE K-6, VANCOUVER, WA 98684-4289
(360) 892-7107
(360) 891-8361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007609
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5026760
—
WA
Enumeration date
01/08/2008
Last updated
01/08/2008
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