JUSTIN LUND FROST

GILBERT, AZ
NPI1164156170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D011704)
Additional Taxonomies122300000X Dentist
(Licence: KS  61953)
Enumeration Date2022-07-14
Last Update Date2023-03-31
Business Address
JUSTIN LUND FROST
2540 S SAN TAN VILLAGE PKWY STE 104
GILBERT, AZ 85295-0301
Phone number: 480-841-9244
Mailing Address
JUSTIN LUND FROST
888 NEW HAMPSHIRE ST
LAWRENCE, KS 66044-2738
Phone number:
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