Individual
KRISTIAN LUNDGREN-KOSZEGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MMSC.
Contact information
Practice address
850 MIDDLEFIELD RD STE 1, PALO ALTO, CA 94301-2918
(650) 326-1400
(650) 326-2909
Mailing address
760 LA PLAYA ST, SAN FRANCISCO, CA 94121-3262
(415) 221-5592
(415) 221-8826
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51967
DENTAL LICENSE NUMBER
CA
Enumeration date
08/04/2006
Last updated
11/21/2018
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