| NPI | 1902814650 |
|---|---|
| Doing Business As | PINES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRIS B LUNDELL President 563-557-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IA 6304) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |