Lundstrom, John Robert

Lundstrom, John Robert is an sole proprietor health care provider with primary practice located at 57337 Yucca Trl , Yucca Valley CA 92284-3851. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Lundstrom, John Robert can be contacted via phone (760) 365-7691.

Contact Information

Primary practice address
57337 Yucca Trl Yucca Valley CA 92284-3851
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 58731 California
Dental Providers / Endodontics 1223E0200X 7627 North Carolina

Profile Details

NPI number 1326011065
LBN Legal business name Lundstrom, John Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Oct 2nd, 2009 - about 17 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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