Lund, Trace Michael
Lund, Trace Michael is an individual health care provider with primary practice located at 745 North 500 West Suite 103, Provo UT 84601. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Lund, Trace Michael can be contacted via phone (801) 373-4200.Contact Information
Primary practice address
745 North 500 West Suite 103
Provo UT 84601
Phone: (801) 373-4200
Fax: (801) 373-0816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 344947-9922 | Utah |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 344947-8903 | Utah |
Profile Details
| NPI number | 1912072620 |
|---|---|
| LBN Legal business name | Lund, Trace Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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