Individual
DR. LESLIE KUTINA LUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3125 ALLERTON LAKE DR, WINSTON SALEM, NC 27106-4481
(336) 760-2705
Mailing address
3125 ALLERTON LAKE DR, WINSTON SALEM, NC 27106-4481
(336) 760-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC6057
NC
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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