Quinn L. Lundberg, Jr., Dmd | |
409 Main St Brockway PA 15824-1324 | |
(814) 268-6614 | |
(814) 265-0087 |
Full Name | Quinn L. Lundberg, Jr., Dmd |
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Speciality | Dentist - General Practice |
Location | 409 Main St, Brockway, Pennsylvania |
Authorized Official Name and Position | Quinn L Lundberg (OWNER) |
Authorized Official Contact | 8142686614 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quinn L. Lundberg, Jr., Dmd 409 Main St Brockway PA 15824-1324 Ph: (814) 268-6614 | Quinn L. Lundberg, Jr., Dmd 409 Main St Brockway PA 15824-1324 Ph: (814) 268-6614 |
NPI Number | 1801472964 |
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Provider Enumeration Date | 03/19/2021 |
Last Update Date | 03/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801472964 | NPI | - | NPPES |
001248233-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |