Individual
DR. GAYLE Y LUNDTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1993 FRONTAGE RD, SUITE 208, SIERRA VISTA, AZ 85635-4633
(520) 458-4646
(520) 803-0626
Mailing address
1993 FRONTAGE RD, SUITE 208, SIERRA VISTA, AZ 85635-4633
(520) 458-4646
(520) 803-0626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6233
AZ
Other
Enumeration date
07/12/2006
Last updated
12/06/2013
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