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Individual

DR. RONALD ALBERT LUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
7819 NE 13TH AVE, VANCOUVER, WA 98665-9601
(360) 546-1106
(360) 546-0782
Mailing address
7819 NE 13TH AVE, VANCOUVER, WA 98665-9601
(360) 546-1106
(360) 546-0782

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1807
WI
1223G0001X
General Practice Dentistry
Primary
3253
WA
1223G0001X
General Practice Dentistry
7894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5362207
WA
Enumeration date
08/10/2006
Last updated
07/09/2007
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