| NPI | 1730248808 |
|---|---|
| Former Name | GAIL A. LUNDQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS025064L) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |