Lundquist, Peggy

Lundquist, Peggy is an individual health care provider with primary practice located at 12395 El Camino Real Ste 218 , San Diego CA 92130-3084. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lundquist, Peggy can be contacted via phone (858) 755-8282.

Contact Information

Primary practice address
12395 El Camino Real Ste 218 San Diego CA 92130-3084
Phone: (858) 755-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 052977 New York
Dental Providers / Pediatric Dentistry 1223P0221X 62938 California

Profile Details

NPI number 1235254657
LBN Legal business name Lundquist, Peggy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 25th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235254657 NPPES
New York MEDICAID 02691596
New York MEDICAID 02838879

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