Individual
KRISTINE LUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057354
NY
122300000X
Dentist
22D102572800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2013
Last updated
09/12/2014
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