Organization · Type 2 NPI
Gayle Y. Lundtvedt, D.m.d., P.c.
Dental Clinic/Center · Sierra Vista, AZ
NPI number
1871644211
Active
Practice location
1993 Frontage Rd, Suite 208
Sierra Vista, AZ 85635-4633
Fax (520) 803-0626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D6233 (AZ) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Sierra Vista
About NPI 1871644211
Gayle Y. Lundtvedt, D.m.d., P.c.'s National Provider Identifier is 1871644211, issued on Jan 14, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sierra Vista, AZ. The record was last updated on Dec 6, 2013.