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1043359177
BRENT DEE LUNDBERG
MIDVALE, UT
NPI
1043359177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 138206)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Dr. BRENT DEE LUNDBERG D.M.D.
684 W CENTER ST
MIDVALE, UT 84047-7124
Phone number: 801-255-4953
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Mailing Address
Dr. BRENT DEE LUNDBERG D.M.D.
684 W CENTER ST
MIDVALE, UT 84047-7124
Phone number: 801-255-4953
Copy
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