BRIAN LEE LUNDBERG

LOGAN, UT
NPI1629284039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  138906-9922)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- BRIAN LEE LUNDBERG D.M.D.
655 DARWIN AVE
LOGAN, UT 84321-6156
Phone number: 435-752-7442
Mailing Address
-- BRIAN LEE LUNDBERG D.M.D.
655 DARWIN AVE
LOGAN, UT 84321-6156
Phone number: 435-752-7442
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