NPI 1043359177
Brent Dee Lundberg, DMD
Practice location
- Address
- 684 W Center St, Midvale, UT 84047-7124
- Phone
- (801) 255-4953
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1043359177
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.